Individual
MAXIMUS L'AMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 UNSER BLVD SE STE 19400, RIO RANCHO, NM 87124-4740
(505) 253-6100
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2014-0098
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16008812
—
NM
Enumeration date
05/19/2008
Last updated
02/25/2022
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