Individual
LAUREN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-0001
(404) 785-5437
Mailing address
1400 TULLIE RD NE FL 8, ATLANTA, GA 30329-2309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
82302
GA
2080P0205X
Pediatric Endocrinology Physician
82302
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
10/06/2021
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