Lauren Gayle Ricossa, FNP

NPI #1578106753 in Marshall, Texas

Provider Information

NPI Number
1578106753
Entity Type
Individual
Name
Lauren Gayle Ricossa, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Oct 21, 2019
Last Updated
Mar 4, 2020

Practice Location

Address
2908 FERN LAKE CUTOFF
State
Texas
ZIP Code
75672-1593
Phone
(409) 679-3091

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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