Individual
DR. VINEELA LAVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
42121 US HWY 70, PORTALES, NM 88130-9347
(575) 356-6652
(575) 359-6827
Mailing address
PO BOX 299, PORTALES, NM 88130-0299
(575) 356-6652
(575) 359-6827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2013-0281
NM
208M00000X
Hospitalist Physician
MD2013-0281
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2012
Last updated
04/02/2026
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