MEDICARE: LAURA ANN ROHRBAUGH

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	OS018900	PA

General Provider Information

NPI Number	:	1134549116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ANN ROHRBAUGH

Provider Business Mailing Address
First Line	:	1055 ANDREW DR
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-3446
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 ANDREW DR
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-3446
Country	:	US
Telephone Number	:	610-436-4448
Fax Number	:

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

Provider Enumeration Date	:	04/17/2014
Last Update Date	:	08/23/2017

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Directions to “ LAURA ANN ROHRBAUGH ” Practice Location

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