Individual
LISETTE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2106 NE 124TH ST, NORTH MIAMI, FL 33181-2619
(786) 306-2082
Mailing address
2106 NE 124TH ST, NORTH MIAMI, FL 33181-2619
(786) 306-2082
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11176605
FL
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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