Individual
LAURA LEE PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-1008
Mailing address
6901 EASTFORD PL NW, ALBUQUERQUE, NM 87114-3687
(850) 316-7060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02227
NM
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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