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Individual

MRS. LORI ANNE FAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3917 WEST ROAD, SUITE 150 LAMCC, LOS ALAMOS, NM 87544
(505) 662-4351
(505) 662-2932
Mailing address
3917 WEST ROAD, SUITE 150 LAMCC, LOS ALAMOS, NM 87544
(505) 662-4351
(505) 662-2932

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR43734
CO
207Q00000X
Family Medicine Physician
Primary
T501
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51770377
NM
Enumeration date
04/06/2006
Last updated
04/16/2008
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