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RODRICK LASHONN COBURN PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1205847290

Individual Registrant:
 RODRICK LASHONN COBURN PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
11445 GHIBERTI WAY  PORTER RANCH, CA 91326-4084 US
Tel: 818-422-2595  Fax: --

Contact information for business:
11445 GHIBERTI WAY  PORTER RANCH, CA 91326-4084 US
Tel: 818-422-2595  Fax: --

Registration Information:
NPI: 1205847290
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CAPA18361

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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