Individual
LAUREN TAYLOR ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9000
Mailing address
338 COLONIAL DR, WAYNESBURG, PA 15370-3410
(724) 998-9250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065926
PA
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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