Provider Demographics
NPI:1760877112
Name:ROWE-HOBBS, LAUREN
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ROWE-HOBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 N. STATE ST.
Mailing Address - Street 2:PEDIATRICS
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4409
Mailing Address - Country:US
Mailing Address - Phone:601-984-5200
Mailing Address - Fax:601-984-2086
Practice Address - Street 1:2500 N. STATE ST.
Practice Address - Street 2:PEDIATRICS
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4409
Practice Address - Country:US
Practice Address - Phone:601-984-5200
Practice Address - Fax:601-984-2086
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS25901208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program