Individual
DR. LORIAN J. KOSTRANCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-5658
(505) 232-8950
Mailing address
1400 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-5658
(505) 232-8950
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
95-275
NM
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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