Individual
LAWRENCE RAYMOND YDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 MASTHEAD ST NE # 120, ALBUQUERQUE, NM 87109-4327
(505) 243-7729
(505) 243-4804
Mailing address
4401 MASTHEAD ST NE # 120, ALBUQUERQUE, NM 87109-4327
(505) 243-7729
(505) 243-4804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
85-312
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35998
—
NM
Enumeration date
07/31/2006
Last updated
07/09/2007
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