Individual
DR. PRETTY SARA IDICULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4311 E LOHMAN AVE STE 300, LAS CRUCES, NM 88011-8255
(575) 556-7600
Mailing address
4351 E LOHMAN AVE STE 300, LAS CRUCES, NM 88011-8262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2025-0863
NM
Other
Enumeration date
03/25/2022
Last updated
08/05/2025
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