Individual
ABBIE L LAURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9TH AND WASHINGTON BLDG 356 C, CIMARRON HEALTH CARE CLINIC, CIMARRON, NM 87714
(505) 376-2402
(505) 376-2107
Mailing address
PO BOX 158, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 747-7396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20020324
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47857561
—
NM
Enumeration date
03/20/2007
Last updated
11/20/2019
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