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Individual

LARRY ELISEO LOVATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5001 INDIAN SCHOOL RD NE STE 200, ALBUQUERQUE, NM 87110-4082
(505) 657-4161
Mailing address
1016 SWALLOW DR SW, ALBUQUERQUE, NM 87121-8186
(505) 604-9992

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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