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Individual

LAURI B MAGEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1125
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1125

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10683
NV
207P00000X
Emergency Medicine Physician
Primary
MD2008-0795
NM
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
10683
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100502990
NV
05
37103288
NM
Enumeration date
08/12/2005
Last updated
08/12/2014
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