Individual
LAUREL ANN DILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
(505) 841-8977
Mailing address
PO BOX 80810, ALBUQUERQUE, NM 87198-0810
(505) 841-8978
(505) 841-8977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R25588
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R25588
RN
NM
Enumeration date
03/10/2008
Last updated
03/12/2008
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