Individual
CORINE BELLE LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1131 MALL DR, LAS CRUCES, NM 88011-8191
(575) 522-7676
(575) 522-8121
Mailing address
1131 MALL DR, LAS CRUCES, NM 88011-8191
(575) 522-7676
(575) 522-8121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-01979
NM
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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