Individual
LAURA R STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Mailing address
6100 PAN AMERICAN FREEWAY, NE, SUITE 390, ALBUQUERQUE, NM 87109-3401
(505) 823-1805
(505) 823-1844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92-360
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001944
—
NM
05
—
1944
—
NM
01
—
202000103
PHP
NM
01
—
NM009V68
BCBS
—
Enumeration date
08/04/2006
Last updated
12/28/2022
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