Individual
LORI ROSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1388 KETTNER BLVD UNIT 702, SAN DIEGO, CA 92101-2774
(404) 805-9502
Mailing address
1388 KETTNER BLVD UNIT 702, SAN DIEGO, CA 92101-2774
(404) 805-9502
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9485060
FL
363LA2200X
Adult Health Nurse Practitioner
NP95006810
CA
363LA2200X
Adult Health Nurse Practitioner
RN179490
GA
Other
Enumeration date
10/27/2014
Last updated
11/01/2024
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