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Organization
LAS CRUCES SCHOOL DISTRICT NO. 2
Active
Organization
LAS CRUCES SCHOOL DISTRICT NO. 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH J TINGUELY R.N. (MEDICAID SCHOOL BASED SERVICES COOR)
(575) 527-5823
Entity
Organization
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
(505) 527-5886
Mailing address
505 S MAIN ST, SUITE 249, LAS CRUCES, NM 88001-1206
(505) 527-5884
(505) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7687
—
NM
Enumeration date
08/09/2006
Last updated
11/05/2020
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