Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 324740 | LA |
Y | 111NI0900X | Internist | 324740 | LA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 0116031913 | VA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 324740 | LA |
NPI | 1063884047 |
---|---|
Provider Name | Lourdes Rodriguez |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Baton Rouge, LA 70808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2015 |
Last Update Date | 22/10/2020 |