Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FX1100X | Ophthalmic | 150494 | NY |
N | 156FX1100X | Ophthalmic | G59946 | CA |
N | 156FX1100X | Ophthalmic | ME50469 | FL |
Y | 207WX0107X | Retina Specialist | ME50469 | FL |
NPI | 1093715302 |
---|---|
Provider Name | Dr. Lauren Richard Rosecan |
First Address | West Palm Beach, FL 33401 |
Second Address | West Palm Beach, FL 33401-3713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 05/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02885 | BC & BS (01) | FL |
046323000 | (05) | FL |
180026327 | MEDICARE-RAILROAD (01) | FL |
A63371 | (02) |