Individual
LAUREN M GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1399 WEIMER RD, #600, TAOS, NM 87571-6340
(575) 758-9519
Mailing address
1399 WEIMER RD, #600, TAOS, NM 87571-6340
(575) 758-9519
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
57429-20
WI
207N00000X
Dermatology Physician
Primary
MD2014-0163
NM
Other
Enumeration date
06/21/2010
Last updated
11/04/2014
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