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NPI Profile for LAURA S DE LA ROSA in NEWPORT BEACH, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI # | 1609117712 |
|
| Status | Active | |
| Credentials | RN, PNP | |
| Entity | Individual | |
| Enumeration date | 03/14/2013 | |
| Last updated | 10/09/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LAURA S DE LA ROSA
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LAURA S DE LA ROSA, RN, PNP