Individual
ELTRICK LORENZO PRIMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-2800
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-2800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
824845
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
824845
NM
Other
Enumeration date
02/08/2013
Last updated
03/04/2014
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