Individual
MS. LAUREN SOULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3615 HIGHWAY 528 NW, ALBUQUERQUE, NM 87114-8919
(505) 248-1518
Mailing address
3615 HIGHWAY 528 NW, ALBUQUERQUE, NM 87114-8919
(505) 248-1518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2015-0034
NM
Other
Enumeration date
06/16/2015
Last updated
03/29/2022
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