Individual
NAGEENA POTLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 N MAIN AVE, LOVINGTON, NM 88260-2813
(575) 396-6611
Mailing address
1600 N MAIN AVE, LOVINGTON, NM 88260-2813
(573) 469-3090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A163440
CA
207Q00000X
Family Medicine Physician
Primary
MD2023-1248
NM
Other
Enumeration date
05/31/2017
Last updated
08/14/2023
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