# DR. ROSANA LABORDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801884861
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 31267 | SC | — |
| 208000000X | Pediatrics Physician | 31267 | SC | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 04/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 312673 | — | SC |
| 01 | — | SCA1625019 | MEDICARE PIN | SC |
| 01 | — | SCA162J577 | MEDICARE PIN | SC |
| 01 | — | SCD5563365 | MEDICARE PIN | SC |