Individual
JEFFREY WILLIAM LAURENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
8224 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87113-2107
(505) 250-0328
Mailing address
PO BOX 93592, ALBUQUERQUE, NM 87199-3592
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03290
NM
Other
Enumeration date
07/20/2017
Last updated
06/08/2023
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