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Individual

MRS. MEGAN T LAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1350 CENTRAL AVE, P.T. PLUS, LOS ALAMOS, NM 87544
(505) 662-3384
(505) 661-0085
Mailing address
1350 CENTRAL AVE, P.T. PLUS, LOS ALAMOS, NM 87544
(505) 662-3384
(505) 661-0085

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070011489
IL
225100000X
Physical Therapist
Primary
3880
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00467239
RAILROAD MEDICARE
IL
Enumeration date
11/10/2007
Last updated
01/18/2011
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