Individual
JAREN LAGRECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 E 30TH ST STE 101, FARMINGTON, NM 87401-8990
(505) 208-6280
Mailing address
2300 E 30TH ST STE 101, FARMINGTON, NM 87401-8990
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2024-0791
NM
Other
Enumeration date
05/14/2018
Last updated
09/04/2024
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