Individual
MR. LAURO LUCIO ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,BC
Contact information
Practice address
562 W SIDE AVE, JERSEY CITY, NJ 07304-1618
(201) 434-7800
(201) 434-6715
Mailing address
562 W SIDE AVE, JERSEY CITY, NJ 07304-1618
(201) 434-7800
(201) 434-6715
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00133200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194996645
444 WILLIAM STREET
NJ
01
—
1235300799
37 N DAY
NJ
05
—
151971
—
NJ
01
—
1740345693
741 BROADWAY
NJ
01
—
1932370483
101 LUDLOW STREET
NJ
Enumeration date
06/03/2007
Last updated
02/24/2012
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