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NPI Code Detail

MEDICARE: FRANCISCO LARA RODRIGUEZ

MEDICARE: FRANCISCO LARA 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
11041C0700XClinical Social WorkerLG200004381DC

General Provider Information

NPI Number : 1104789676
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCISCO LARA RODRIGUEZ
Provider Business Mailing Address
First Line : 915 RHODE ISLAND AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-4153
Country : US
Telephone Number : 202-908-9935
Fax Number :
Provider Business Practice Location Address
First Line : 915 RHODE ISLAND AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-4153
Country : US
Telephone Number : 202-908-9935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ FRANCISCO LARA RODRIGUEZ ” Practice Location

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