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Individual

DR. LUCIA T CORRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2930 HILLRISE DR, SUITE # 5, LAS CRUCES, NM 88011-4776
(575) 521-0008
(575) 521-0063
Mailing address
2930 HILLRISE DR, SUITE 5, LAS CRUCES, NM 88011-4776
(575) 521-0008
(575) 521-0063

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD2004-0025
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
49634216
NM
Enumeration date
07/26/2005
Last updated
06/11/2010
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