Individual
LOIS MARY PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA LMT
Contact information
Practice address
1421 LUISA ST, SUITE D, SANTA FE, NM 87505-4073
(505) 820-1482
(505) 982-0696
Mailing address
122 CEDAR ST, SANTA FE, NM 87501-1638
(505) 501-4192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2005-0046
NM
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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