Organization
ROSE DERMATOLOGY & LASER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE L ROSE MD (OWNER)
(504) 885-8363
Entity
Organization
Contact information
Practice address
2221 CLEARVIEW PKWY STE 101, METAIRIE, LA 70001-2480
(504) 885-8363
(504) 885-1005
Mailing address
2221 CLEARVIEW PKWY STE 101, METAIRIE, LA 70001-2480
(504) 885-8363
(504) 885-1005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10473R
LA
Other
Enumeration date
10/15/2007
Last updated
03/27/2008
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