LAUREN RUSSELL PROSTROLLO

JACKSONVILLE, FL
NPI1619546454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  UO7731)
Enumeration Date2021-06-24
Last Update Date2021-06-24
Business Address
Dr. LAUREN RUSSELL PROSTROLLO DO
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204-4717
Phone number: 904-308-7372
Mailing Address
Dr. LAUREN RUSSELL PROSTROLLO DO
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204-4717
Phone number: 904-308-7372