Individual
MARY M LAUMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 WAGON MOUND HIGHWAY, ROY, NM 87743
(575) 485-2484
(575) 485-2261
Mailing address
PO BOX 158, EL CENTRO FAMILY HEALTH, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01740
NM
Other
Enumeration date
07/19/2011
Last updated
07/01/2013
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