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NPI Code Detail

MEDICARE: LAURA ROMO MPH

MEDICARE:   LAURA  ROMO  MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11744R1102XResearch Study Specialist

General Provider Information

NPI Number : 1093259012
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ROMO MPH
Provider Business Mailing Address
First Line : 2460 22ND ST
Second Line : WARD 94, BUILDING 90, 4TH FLOOR
City : SAN FRANCISCO
State : CA
Zip : 94110-2815
Country : US
Telephone Number : 415-206-2276
Fax Number :
Provider Business Practice Location Address
First Line : 2460 22ND ST
Second Line : WARD 94, BUILDING 90, 4TH FLOOR
City : SAN FRANCISCO
State : CA
Zip : 94110-2815
Country : US
Telephone Number : 415-206-2276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2016
Last Update Date : 12/09/2016

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