Individual
LAURISA MARIE RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
521 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4238
(719) 565-9289
Mailing address
521 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ML61070961
WA
Other
Enumeration date
04/15/2018
Last updated
06/28/2023
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