Individual
LAURIE MICHELLE RODRIGUEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 592-8511
Mailing address
607 BEAMAN ST, CLINTON, NC 28328-2603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RTL23-1055
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2020
Last updated
07/26/2023
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