Individual
LIDIA PATRICIA RODRIGUEZ CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6500
(559) 499-6411
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A94807
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A94807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A948070
—
CA
01
—
A94807
CA LICENSE
CA
Enumeration date
08/20/2007
Last updated
02/09/2021
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