Individual
LAURA A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 GOLD AVE SW STE 1300, ALBUQUERQUE, NM 87102-3274
(505) 715-4610
(505) 273-4671
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 359-3010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2001128
NM
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
2001-128
NM
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
2001-128
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62709356
—
NM
Enumeration date
10/03/2006
Last updated
09/22/2022
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