Individual
CHARLES LAURENCE LALOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 338-1652
Mailing address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 338-1652
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
12/29/2011
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