Individual
LAUREN ROTUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
648 N MAIN ST, TAYLOR, PA 18517-1112
(570) 348-1101
Mailing address
648 N MAIN ST, TAYLOR, PA 18517-1112
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057162
PA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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