Provider Demographics
NPI:1164604757
Name:LORI L. RORIGUEZ, M.D. APMC
Entity Type:Organization
Organization Name:LORI L. RORIGUEZ, M.D. APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-352-6464
Mailing Address - Street 1:1055 PARKWAY DR
Mailing Address - Street 2:STE. A
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-6276
Mailing Address - Country:US
Mailing Address - Phone:318-352-6464
Mailing Address - Fax:318-352-2488
Practice Address - Street 1:1055 PARKWAY DR
Practice Address - Street 2:STE. A
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-6276
Practice Address - Country:US
Practice Address - Phone:318-352-6464
Practice Address - Fax:318-352-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022137261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1495506Medicaid
LA1495506Medicaid