Organization
LORIAN KOSTRANCHUK, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORIAN KOSTRANCHUK MD (PRESIDENT)
(505) 232-8950
Entity
Organization
Contact information
Practice address
1400 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-5658
(505) 232-8950
(505) 266-8949
Mailing address
1400 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-5658
(505) 232-8950
(505) 266-8949
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
95-275
NM
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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