Individual
DR. AVRA SOPHIA SASKIA LAARAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D, M.SC, B.ED
Contact information
Practice address
MSC PLASTIC SURGERY 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4264
(505) 272-4264
Mailing address
MSC PLASTIC SURGERY 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4264
(505) 272-4264
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
222273
NC
208200000X
Plastic Surgery Physician
Primary
MD486085
PA
208200000X
Plastic Surgery Physician
RTL
NM
Other
Enumeration date
09/09/2016
Last updated
11/14/2024
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