Individual
LOURDES VIZCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2350 ALAMO AVE SE STE 160, MSC11 6295, ALBUQUERQUE, NM 87106-3225
(505) 925-2350
Mailing address
2350 ALAMO AVE SE SUITE 160, MSC11 6295, ALBUQUERQUE, NM 87106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002-0496
NM
207Q00000X
Family Medicine Physician
31251
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37234374
—
NM
Enumeration date
08/02/2006
Last updated
12/02/2015
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