LAUREN GAYLE RICOSSA


Address: 2908 Fern Lake Cutoff, Marshall, TX 75672-1593
Phone: 4096793091

LAUREN GAYLE RICOSSA (NPI# 1578106753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578106753
Entity Type Individual
Full Name LAUREN GAYLE RICOSSA
Credential FNP
Practice Address 2908 Fern Lake Cutoff
Marshall
TX 75672-1593
Mailing Address Po Box 1139
George West
TX 78022-1139
Practice Telephone 4096793091
Mailing Telephone 4096793091
Enumeration Date 2019-10-21
Last Update Date 2020-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner AP142292 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP142292 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2908 FERN LAKE CUTOFF
City MARSHALL
State TX
Zip Code 75672-1593

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783376 Alexander Barroga Licensed Vocational Nurse 605 Pr 1332, Marshall, TX 75672 2019-01-09
1699256909 Paula Dawn Swilley Occupational Therapy Assistant 7247 Strickland Springs Rd, Marshall, TX 75672 2018-08-24
1255825394 Dayspring Therapeutic Equestrian Center of Harrison County Inc Specialist 2609 Fern Lake Cutoff, Marshall, TX 75672 2018-06-21
1225587934 Jeremy Scott Utley Nurse Practitioner 808 Harper Dr., Marshall, TX 75672 2016-09-23
1710352513 Abel Stevenson Pharmacist 300 East End Blvd, Marshall, TX 75672 2015-12-04
1689898488 Wilson Chiropractic Clinic Chiropractor 2005 E Grand Ave, Marshall, TX 75672 2007-04-12
1730277187 John Carrell Cayce Dentist 2302 S Washington St, Marshall, TX 75672 2006-10-11
1649239005 Katharine J Balbuena Md Physical Medicine & Rehabilitation 811 South Washington, Marshall, TX 75672 2006-03-22
1245583848 Bob J Herrin General Practice 104 Albemarle Rd., Marshall, TX 75672-1526 2012-10-19
1801350814 Ursula Candy Betancourt Occupational Therapy Assistant 4590 Fm 1793, Marshall, TX 75672-1620 2019-01-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578190088 Michelle Ann Orange Nurse Practitioner 230 Wagon Trl, Marshall, AR 72650-7002 2020-03-25
1306499108 Kari Ann Scarbrough Nurse Practitioner 200 N Madison, Marshall, MI 49068 2019-07-20
1679135958 Bernice Alice Theule Nurse Practitioner 111 S Hamilton St, Marshall, MI 49068-1537 2019-07-08
1891207379 Amy Ellen Jean Howell Nurse Practitioner 1174 W Michigan Ave Ste B, Marshall, MI 49068-1625 2017-10-24
1881132587 Dana Zinn Nurse Practitioner 1547 Commerce Dr, Marshall, MO 65340 2017-02-02
1225587934 Jeremy Scott Utley Nurse Practitioner 808 Harper Dr., Marshall, TX 75672 2016-09-23
1235594342 Shelly Wisz Nurse Practitioner 720 Old Us 27 North, Marshall, MI 49068 2015-12-17
1730478686 John Lloyd English Nurse Practitioner 618 S Grove St Ste 100-300, Marshall, TX 75670 2011-03-31
1669786216 Pamela Madden Frisby Nurse Practitioner 4401 Us Hwy 25/70, Marshall, NC 28753 2010-08-05
1427293067 Diane Marie Weinreich Nurse Practitioner 4 N Jefferson Ave, Marshall, MO 65340-2148 2008-12-11
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Competitor

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City MARSHALL
Zip Code 75672

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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