Provider Demographics
NPI:1760216071
Name:FLORES RODRIGUEZ, LAURA CRISTINA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:CRISTINA
Last Name:FLORES RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1080
Mailing Address - Country:US
Mailing Address - Phone:641-980-1242
Mailing Address - Fax:
Practice Address - Street 1:179 W STATE ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1080
Practice Address - Country:US
Practice Address - Phone:641-980-1242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula