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Individual

DAVID MICHAEL LANSFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
601 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3758
(505) 762-3848
Mailing address
601 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3758
(505) 762-3848

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00004668
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
57133
NM
Enumeration date
07/03/2006
Last updated
07/08/2007
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