Individual
LORI LEA BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
MSC 07 4025, UNM CANCER RESEARCH AND TREATMENT CENTER, ALBUQUERQUE, NM 87131-0001
(505) 925-0102
(505) 925-0187
Mailing address
MSC 07 4025, UNM CANCER RESEARCH AND TREATMENT CENTER, ALBUQUERQUE, NM 87131-0001
(505) 925-0102
(505) 925-0187
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC2009-009
NM
Other
Enumeration date
09/18/2010
Last updated
09/20/2010
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