Individual
DR. LORI S. WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544-2275
(505) 662-4351
(505) 662-2932
Mailing address
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544-2275
(505) 662-4351
(505) 662-2932
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD2006-0151
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00636371
—
NM
Enumeration date
06/21/2006
Last updated
04/16/2008
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