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Individual

DR. LAWRENCE O WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2300 E 30TH ST BLDG D STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Mailing address
2300 E 30TH ST BLDG D STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
304
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00NM005A23
BCBS
01
10027964
CIGNA
NM
05
43809545
NM
Enumeration date
05/15/2006
Last updated
05/06/2008
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