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Individual
HEATHER DYANE LAUER RODRIGUEZ
Active
Individual
HEATHER DYANE LAUER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
696425
TX
372500000X
Chore Provider
Primary
AP121377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294317703
—
TX
01
—
8761UG
BCBS
TX
01
—
P01358214
RR
TX
Enumeration date
12/28/2011
Last updated
06/15/2020
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