Individual
LORI Y RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1923 MORRIS PL, SANTA FE, NM 87505-5466
(505) 316-6351
Mailing address
455 ST. MICHAELS DR, SANTA FE, NM 87505-5466
(505) 316-6351
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21681
NM
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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