Individual
DR. LAWRENCE ELDEN DETTWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
453 CERRILLOS RD, SANTA FE, NM 87501-3784
(505) 603-0641
Mailing address
14 MELADO DR, SANTA FE, NM 87508-2254
(505) 603-0641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4706
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12452777
—
NM
01
—
VNM01398
VALUE OPTIONS
NM
Enumeration date
04/09/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us