Individual
DR. LOURDES GOMEZ VILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-9673
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-3456
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101257380
VA
207R00000X
Internal Medicine Physician
Primary
62032
MN
208M00000X
Hospitalist Physician
62032
MN
208M00000X
Hospitalist Physician
A110418
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2007
Last updated
07/21/2022
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