MEDICARE: DR. LAUREN RICHARD ROSECAN MD

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
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	ME50469	FL
2	156FX1100X	Ophthalmic Technician/Technologist	ME50469	FL
3	156FX1100X	Ophthalmic Technician/Technologist	G59946	CA
4	156FX1100X	Ophthalmic Technician/Technologist	150494	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180026327	OTHER	FL	MEDICARE-RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	02885	OTHER	FL	BC & BS

General Provider Information

NPI Number	:	1093715302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN RICHARD ROSECAN MD

Provider Business Mailing Address
First Line	:	11382 PROSPERITY FARMS RD STE 127
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3463
Country	:	US
Telephone Number	:	561-832-4411
Fax Number	:	561-832-1591

Provider Business Practice Location Address
First Line	:	11382 PROSPERITY FARMS RD STE 127
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3463
Country	:	US
Telephone Number	:	561-832-4411
Fax Number	:	561-832-1591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	12/22/2025

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