Individual
LORENA A LYSKE-ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(575) 627-2601
Mailing address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R65456
NM
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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