Individual
DR. ALYCIA L RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15412R
LA
208000000X
Pediatrics Physician
Primary
15412R
LA
208D00000X
General Practice Physician
15412R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1190730
—
LA
Enumeration date
11/18/2005
Last updated
06/18/2021
Update your record
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