Individual
VICTORIA LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
Mailing address
5300 ANTEQUERA RD NW, APT 609, ALBUQUERQUE, NM 87120-4572
(505) 269-6805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
72050
NC
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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