NPI 1245953595

Lucia Roderique

Practitioner Advanced Practice Midwife St Louis Park, MN

Practice location

Address: 6500 Excelsior Blvd, St Louis Park, MN 55426-4702
Phone: (952) 993-3282
Mailing address: 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 539 (MN)

Other Advanced Practice Midwife providers in Minnesota →

Midwife

Other Service Providers Taxonomy 176B00000X Licence 539 (MN)

Other Midwife providers in Minnesota →

Registry record

NPI: 1245953595
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2022
Record last updated: 9 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.