Individual
LAUREN ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3908 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4504
(505) 361-1009
Mailing address
1221 SILVER AVE SW APT 22, ALBUQUERQUE, NM 87102-2864
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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