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NPI Code Detail

MEDICARE: LAURA RODRIGUEZ MD

MEDICARE:   LAURA  RODRIGUEZ  MD
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
1207R00000XInternal Medicine Physician04-49821KS

General Provider Information

NPI Number : 1649856485
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA RODRIGUEZ MD
Provider Business Mailing Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8501
Country : US
Telephone Number : 913-588-6005
Fax Number : 913-588-3877
Provider Business Practice Location Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-2527
Country : US
Telephone Number : 913-588-6005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 08/09/2024

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Directions to “ LAURA RODRIGUEZ MD” Practice Location

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