Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 128103 | NC |
Y | 2080P0208X | Pediatric Infectious Diseases | 128103 | NC |
NPI | 1396912473 |
---|---|
Provider Name | Dr. Luise Elizabeth Rogg |
First Address | Durham, NC 27713-8063 |
Second Address | Durham, NC 27713-8063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2008 |
Last Update Date | 23/03/2012 |