Healthcare Provider Details

I. General information

NPI: 1588420780
Provider Name (Legal Business Name): LAUREN RODGERS, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024
Certification Date: 02/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6196 OXON HILL RD STE 630
OXON HILL MD
20745-3112
US

IV. Provider business mailing address

PO BOX 4850
SILVER SPRING MD
20914-4850
US

V. Phone/Fax

Practice location:
  • Phone: 301-839-7900
  • Fax:
Mailing address:
  • Phone: 301-839-7900
  • Fax: 301-753-7985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN RODGERS
Title or Position: OWNER
Credential: MD
Phone: 301-839-7900