Healthcare Provider Details

I. General information

NPI: 1093392896
Provider Name (Legal Business Name): LAUREN MARIE ROSATI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 4TH AVE S
BIRMINGHAM AL
35233-1511
US

IV. Provider business mailing address

1400 4TH AVE S
BIRMINGHAM AL
35233-1511
US

V. Phone/Fax

Practice location:
  • Phone: 205-329-7200
  • Fax:
Mailing address:
  • Phone: 205-329-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberMD44952
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.44952
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: