Individual
ALEXANDER ROZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1200 BENVUE LN, LAKE CHARLES, LA 70605-2655
(337) 580-6782
Mailing address
1200 BENVUE LN, LAKE CHARLES, LA 70605-2655
(337) 580-6782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
303713
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#LA00046520782
HMO, BLUE CROSS BLUE SHIELD
LA
Enumeration date
12/30/2016
Last updated
12/30/2016
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