Rodriguez Carranza, Lidia Patricia

Rodriguez Carranza, Lidia Patricia is an individual health care provider with primary practice located at 2823 Fresno St , Fresno CA 93721-1324. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Rodriguez Carranza, Lidia Patricia can be contacted via phone (559) 499-6500.

Contact Information

Primary practice address
2823 Fresno St Fresno CA 93721-1324
Phone: (559) 499-6500
Fax: (559) 499-6411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A94807 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X A94807 California

Profile Details

NPI number 1225221641
LBN Legal business name Rodriguez Carranza, Lidia Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2007
Last updated Feb 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225221641 NPPES
California Other A94807 CA LICENSE
California MEDICAID 00A948070 CA LICENSE

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