Individual
REGINALD OSWALD LORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 HOSPITAL LP NE, STE 211, ALBUQUERQUE, NM 87109-2128
(505) 888-1678
(505) 888-7684
Mailing address
101 HOSPITAL LP NE, STE 211, ALBUQUERQUE, NM 87109-2128
(505) 888-1678
(505) 888-7684
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
87263
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04382
—
NM
01
—
87263
LIC # BOARD OF MEDICAL EX
NM
Enumeration date
04/24/2006
Last updated
07/08/2007
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