National Provider Identifier

Lucien Maltby Rouse, MD

Lucien Maltby Rouse, MD is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 275-0389.

NPI 1609897818Rochester, NYSpecialist

Profile Overview

NPI
1609897818
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 22, 2006
Last Updated
March 11, 2016

Practice Location

  • 601 Elmwood Ave
  • Box 665
  • Rochester, NY 14642-0001

Phone: (585) 275-0389

Specialties

  • Specialist (174400000X)
  • Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
Full Record
NPI
1609897818
Entity Type
Individual
Last Name
Rouse
First Name
Lucien
Middle Name
Maltby
Name Prefix
Dr.
Credential
MD
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 665
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 341-9185
Mailing Fax
(585) 340-3051
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Box 665
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-0389
Practice Fax
(585) 276-1982
Enumeration Date
July 22, 2006
Last Updated
March 11, 2016
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X), Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)