Individual
LORI R PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNCT
Contact information
Practice address
2050 SCENIC DR, ALAMOGORDO, NM 88310-3880
(575) 434-0901
(575) 437-1992
Mailing address
16 YUCCA DR, LA LUZ, NM 88337-9549
(575) 491-0479
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
520
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520
AMERICAN BOARD OF ELECTRODIAGNOSTIC MEDICINE
—
Enumeration date
09/28/2022
Last updated
09/28/2022
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