Individual
DR. PROSPIL CALUMPIANO LIWANAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2204 STALLION ST SW, LOS LUNAS, NM 87031-4840
(505) 417-2297
Mailing address
2204 STALLION ST SW, LOS LUNAS, NM 87031-4840
(505) 417-2297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RS2007-0675
NM
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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