Individual
LANCE TRENT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
(505) 999-1654
Mailing address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
(505) 999-1654
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
A92046
CA
207RG0100X
Gastroenterology Physician
Primary
MD2007-0660
NM
Other
Enumeration date
02/06/2007
Last updated
02/04/2015
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