Individual
LORI EANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 87109-5900
(505) 262-3233
(505) 262-3191
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A124904
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60329343
—
NM
Enumeration date
07/08/2006
Last updated
04/09/2012
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