Individual
LACY ANN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
114 W 11TH ST, SILVER CITY, NM 88061-5136
(575) 388-1511
Mailing address
1387 BISON SPRING DR, LAS CRUCES, NM 88012-5105
(575) 574-8380
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
69210
NM
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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