Individual
DR. KAREN L LORUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4200 BECKNER ROAD, SANTA FE, NM 87507
(505) 670-8292
(505) 913-8923
Mailing address
4200 BECKNER ROAD, SANTA FE, NM 87507
(505) 670-8292
(505) 913-8923
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2000-13
NM
207RX0202X
Medical Oncology Physician
2000-13
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B5719
—
NM
01
—
P00282167
RAILROAD MEDICARE PIN
—
Enumeration date
07/14/2005
Last updated
10/03/2024
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