| Dr. Lauren Rosso, Pllc | |
|
19 E Mountain St Ste 5 Fayetteville AR 72701-6067 | |
| (479) 308-8530 | |
| Not Available |
| Full Name | Dr. Lauren Rosso, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 19 E Mountain St Ste 5, Fayetteville, Arkansas |
| Authorized Official Name and Position | Lauren Rosso (OWNER) |
| Authorized Official Contact | 4796012302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lauren Rosso, Pllc 1132 N Oak Dr Fayetteville AR 72701-1618 Ph: (479) 601-2302 | Dr. Lauren Rosso, Pllc 19 E Mountain St Ste 5 Fayetteville AR 72701-6067 Ph: (479) 308-8530 |
| NPI Number | 1639775760 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639775760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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