Individual
LORENE L HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2704 SOUTHERN BLVD SE STE 2, RIO RANCHO, NM 87124-3748
(505) 268-1830
(505) 994-1472
Mailing address
2889 PINE FOREST DR SE, RIO RANCHO, NM 87124-7281
(505) 994-0409
(505) 994-1472
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
0600006920
NM
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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