Organization
RENAL MEDICINE OF LAS CRUCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA CORRO MD (MD/OWNER)
(575) 521-0008
Entity
Organization
Contact information
Practice address
2930 HILLRISE DR, STE. 5, LAS CRUCES, NM 88011-4776
(575) 521-0008
(575) 521-0063
Mailing address
2930 HILLRISE DR, STE. 5, LAS CRUCES, NM 88011-4776
(575) 521-0008
(575) 521-0063
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD2004-0025
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85430552
—
NM
Enumeration date
02/23/2010
Last updated
01/12/2011
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