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1760800692
LAUREN S SELF
ROANOKE, VA
NPI
1760800692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0102204992)
Enumeration Date
2014-03-28
Last Update Date
2022-07-21
Business Address
-- LAUREN S SELF D.O.
3 RIVERSIDE CIR
ROANOKE, VA 24016-4955
Phone number: 540-224-5170
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Mailing Address
-- LAUREN S SELF D.O.
3 RIVERSIDE CIR
ROANOKE, VA 24016-4955
Phone number: 540-224-5170
Copy
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