Individual
MS. CAROL LORRAINE MEROVKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8210 LOUISIANA BLVD. NE, SUITE C, ALBUQUERQUE, NM 87113-1761
(505) 858-1222
(505) 858-1224
Mailing address
8210 LOUISIANA BLVD. NE, SUITE C, ALBUQUERQUE, NM 87113-1761
(505) 858-1222
(505) 858-1224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82-259
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19281
—
NM
01
—
850327150
FEDERAL ID NUMBER
NM
Enumeration date
02/27/2007
Last updated
07/16/2013
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