Organization
SW LIPOSCULPTURE & COSMETIC LASER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE REYNAUD (OWNER/OFFICE MANAGER)
(575) 532-1657
Entity
Organization
Contact information
Practice address
3850 FOOTHILLS RD, SUITE 9, LAS CRUCES, NM 88011-4632
(575) 532-1657
(575) 532-1665
Mailing address
3850 FOOTHILLS RD, SUITE 9, LAS CRUCES, NM 88011-4632
(575) 532-1657
(575) 532-1665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99-226
NM
207RP1001X
Pulmonary Disease Physician
99-226
NM
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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