Individual
MATTHEW LAUMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS PA-C
Contact information
Practice address
42121 US HIGHWAY 70, PORTALES, NM 88130-9054
(575) 356-6652
(575) 359-6827
Mailing address
PO BOX 299, PORTALES, NM 88130-0299
(575) 356-6652
(575) 359-6827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2013-0063
NM
Other
Enumeration date
11/22/2013
Last updated
10/17/2024
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