Organization
LAS CRUCES PHYSICIAN PRACTICES, LLC
Active
Other names
NM CARDIOVASCUALR ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
4351 E LOHMAN AVE, SUITE 403, LAS CRUCES, NM 88011-8259
(575) 521-5277
Mailing address
4351 E LOHMAN AVE, SUITE 403, LAS CRUCES, NM 88011-8259
(575) 521-5277
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900522525
MEDICARE GROUP
NM
Enumeration date
08/18/2009
Last updated
09/24/2024
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