Doctor Name: | DR. LAUREN RODGERS |
NPI Number: | 1073502548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | BR4499097 |
Business Practice Address: | 6196 Oxon Hill Rd Suite 630 Oxon Hill, MD - 207453100 |
Business Phone Number: | 3018397900 |
Business Fax Number: | 3018391638 |
Mailing Address: | 6196 Oxon Hill Rd, Suite 630 OXON HILL |
State: | MD |
Postal Code: | 207453100 |
Phone Number: | 3018397900 |
Fax Number: | 3018391638 |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | BR4499097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |