Individual
LAURA CATHERINE THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-6800
Mailing address
77 BAKER LN, ERIE, CO 80516-9059
(575) 636-4297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12107
TX
363A00000X
Physician Assistant
Primary
PA2016-0055
NM
363AM0700X
Medical Physician Assistant
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—
Other
Enumeration date
07/23/2016
Last updated
02/12/2026
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