Individual
LAURENCE DELA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5220 ESSEN LN, BATON ROUGE, LA 70809-3542
(225) 526-1971
Mailing address
4203 GLEN CT, PEARLAND, TX 77584-3985
(713) 550-3097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
858812
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
30122
SC
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
02/05/2024
Last updated
09/03/2025
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