Provider Demographics
NPI:1902182579
Name:ROSENBERG, LAUREN (PA-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ROSENBERG
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8097 FERENTINO PASS
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9584
Mailing Address - Country:US
Mailing Address - Phone:954-868-2734
Mailing Address - Fax:561-431-5875
Practice Address - Street 1:8097 FERENTINO PASS
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-9584
Practice Address - Country:US
Practice Address - Phone:561-980-3501
Practice Address - Fax:561-431-5875
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015210363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical