Individual
LYNDA LABRANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W 11TH ST, SILVER CITY, NM 88061-5123
(575) 388-1511
Mailing address
1007N POPE ST, SILVER CITY, NM 88061-5161
(575) 597-2726
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261375072
STUDENT (RESIDENT)
OH
Enumeration date
06/10/2014
Last updated
12/08/2015
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