Individual
LILIANA SPURGEON
Active
Individual
LILIANA SPURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSS
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
1040
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040
NEW MEXICO
NM
Enumeration date
07/13/2020
Last updated
03/08/2024
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