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Organization

LOS ALAMOS MEDICAL CARE CLINIC LTD

Active
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Organization

LOS ALAMOS MEDICAL CARE CLINIC LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAUDETTE MEDINA (OFFICE MANAGER)
(505) 662-4351
Entity
Organization

Contact information

Practice address
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544
(505) 662-4351
(505) 662-2932
Mailing address
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544
(505) 662-4351
(505) 662-2932

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
07/20/2006
Last updated
02/20/2020
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