Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 071276 | GA |
Y | 207Q00000X | Family Doctor | A132793 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 071276 | GA |
NPI | 1053549196 |
---|---|
Provider Name | Dr. Lorene Nicole Rodriguez |
First Address | Bakersfield, CA 93302-1139 |
Second Address | Bakersfield, CA 93309-0433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2009 |
Last Update Date | 16/08/2016 |