Provider Demographics
NPI:1689172652
Name:RODOCKER, SONDRA (IBCLC)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:
Last Name:RODOCKER
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10825 KANIS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3802
Mailing Address - Country:US
Mailing Address - Phone:501-491-0521
Mailing Address - Fax:
Practice Address - Street 1:10825 KANIS RD STE 300
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3802
Practice Address - Country:US
Practice Address - Phone:501-491-0521
Practice Address - Fax:501-491-6452
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-25
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN