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NPI Code Detail

MEDICARE: LAUREN RODRIGUEZ

MEDICARE: LAUREN RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI03306600NJ
2183500000XPharmacist056696-1NY

General Provider Information

NPI Number : 1043639727
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN RODRIGUEZ
Provider Business Mailing Address
First Line : 115 PERIMETER CENTER PL NE
Second Line : SUITE 700
City : ATLANTA
State : GA
Zip : 30346-1249
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 HARRISON ST
Second Line : SUITE 114
City : HOBOKEN
State : NJ
Zip : 07030-6064
Country : US
Telephone Number : 201-420-6686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2014
Last Update Date : 04/10/2014

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Directions to “ LAUREN RODRIGUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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