Individual
LUZ W KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2200
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90-233
NM
207RR0500X
Rheumatology Physician
90-233
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00028787
—
NM
Enumeration date
03/22/2007
Last updated
08/22/2016
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