Individual
LORENZA MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
820 HWY 478, ANTHONY, NM 88021
(505) 882-5101
(505) 882-6127
Mailing address
P.O. BOX 2285, LAS CRUCES, NM 88004
(505) 882-5101
(505) 882-6127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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