Individual
DR. VICTOR LACERVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 ZAMBRA WAY, SANTA FE, NM 87506-0154
(505) 983-4233
Mailing address
52 ZAMBRA WAY, SANTA FE, NM 87506-0154
(505) 983-4233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
8056
NM
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
8056
NM
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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