Individual
CAROL LARROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CONSULTATION/LIAISON SERVICE, 2400 TUCKER NE, ALBUQUERQUE, NM 87131-0001
(505) 272-4763
Mailing address
2400 TUCKER NE, MSC09 5030, ALBUQUERQUE, NM 87131-0001
(505) 272-4763
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
92-279
NM
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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