Individual
LORI A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325 E BASELINE RD, PHOENIX, AZ 85042-6510
(602) 824-4352
(602) 824-4259
Mailing address
325 E BASELINE RD, PHOENIX, AZ 85042-6510
(602) 824-4352
(602) 824-4259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2428
AZ
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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