Individual
DR. LAWRENCE S ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 HENRY RD SW, JACKSONVILLE, AL 36265-3324
(256) 435-1871
(256) 435-5703
Mailing address
PO BOX 339, JACKSONVILLE, AL 36265
(256) 435-1871
(256) 435-5703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12000
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014553
—
AL
Enumeration date
09/21/2005
Last updated
11/10/2008
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