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Individual

DR. SUSAN LAYNE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-3542
(505) 262-7394
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-3542
(505) 262-7394

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-0105
NM

Other

Enumeration date
01/15/2007
Last updated
03/14/2013
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