Individual
MS. LORRAINE N/A ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
9300 SANDIA SUNSET ST NW, ALBUQUERQUE, NM 87114-6605
(505) 573-9464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-87353
NM
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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