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Contact Information

LUCIA RODERIQUE
6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55426-4702
 Phone: 952-993-3282
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for LUCIA RODERIQUE · (Female)

NPI Number 1245953595
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2022
Last updated 09/09/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 539
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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