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Individual
MRS. LORI ANN RODRIGUEZ
Active
Individual
MRS. LORI ANN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18174
CA
363AM0700X
Medical Physician Assistant
PA18174
CA
Other
Enumeration date
12/01/2005
Last updated
11/10/2015
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