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Lauren M Roth, MD
Student in an Organized Health Care Education/Training Program in Bridgeport, Connecticut
NPI 1316566425

Lauren M Roth is a Student in an Organized Health Care Education/Training Program based in New Orleans, CT. Lauren M Roth practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Lauren M Roth is 1316566425 and holds a License No. (Connecticut).

The current practice location address for Lauren M Roth is 267 Grant St, Bridgeport, CT and can be reached out via phone at 203-384-3990.

Location: 267 Grant St, Bridgeport, CT, 70118-1142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316566425
Provider Name
Lauren M Roth
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
267 Grant St, Bridgeport, CT, 70118-1142
Phone Number
203-384-3990
Fax Number
Provider Enumeration Date
04/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
267 Grant St
City
Bridgeport
State
Connecticut
Zip
06610-2870
Phone Number
203-384-3990
Fax Number
person
Provider Business Mailing Address Details
Address
267 Grant St
City
Bridgeport
State
Connecticut
Zip
06610-2870
Phone Number
203-384-3990
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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