Individual
LAURA G ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10260 SILVERSIDE ST STE 100, IJAMSVILLE, MD 21754-9174
(301) 682-4100
(301) 682-9100
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
(301) 663-6162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R209409
MD
Other
Enumeration date
03/15/2018
Last updated
01/08/2025
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