Individual provider · Type 1 NPI

Laura Roggenbaum, MA

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1053920330 Active

Practice location

1720 E 120th St
Los Angeles, CA 90059-3052

Mailing address

5108 Jewell Ter
Palm Harbor, FL 34685-2696

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1053920330

Laura Roggenbaum, MA's National Provider Identifier is 1053920330, issued on Jul 23, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 23, 2020.