Provider Demographics
NPI:1851511950
Name:ROZAS, LAUREN (PT)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:
Last Name:ROZAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5160 CHATAIGNIER RD
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-6853
Mailing Address - Country:US
Mailing Address - Phone:337-580-3546
Mailing Address - Fax:
Practice Address - Street 1:5160 CHATAIGNIER RD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-6853
Practice Address - Country:US
Practice Address - Phone:337-580-3546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPT-963R225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1154199Medicaid
LA1154199Medicaid