Individual
RODOLFO LAUCIRICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7182
(901) 276-5474
Mailing address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7182
(901) 276-5474
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19251
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679653075
—
MO
05
—
Q033049
—
TN
Enumeration date
10/17/2006
Last updated
10/08/2018
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