Organization
LAS CRUCES DERMATOLOGY ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW LUKE ONDO MD (OWNER)
(575) 521-7117
Entity
Organization
Contact information
Practice address
4351 E LOHMAN AVE, STE. 208, LAS CRUCES, NM 88011-8259
(575) 521-7117
(575) 521-7226
Mailing address
4351 E LOHMAN AVE, STE. 208, LAS CRUCES, NM 88011-8259
(575) 521-7117
(575) 521-7226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
97-332
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM011341
BLUE CROSS BLUE SHIELD
NM
Enumeration date
07/04/2006
Last updated
05/28/2009
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