Individual
LAURENCE R LAUDICINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 JEFFERSON ST NE STE 800, ALBUQUERQUE, NM 87109-2132
(505) 932-7112
Mailing address
4700 JEFFERSON ST NE STE 800, ALBUQUERQUE, NM 87109-2132
(505) 418-6636
(505) 521-5160
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2008-0045
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD2008-0045
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76736326
—
NM
Enumeration date
01/10/2006
Last updated
11/09/2022
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