Healthcare Provider Details

I. General information

NPI: 1689172652
Provider Name (Legal Business Name): SONDRA RODOCKER IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2018
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17005 CANTRELL RD
LITTLE ROCK AR
72223-4268
US

IV. Provider business mailing address

17005 CANTRELL RD
LITTLE ROCK AR
72223-4268
US

V. Phone/Fax

Practice location:
  • Phone: 501-491-0521
  • Fax:
Mailing address:
  • Phone: 501-491-0521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-56472
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: