Individual
LAURENCE OSTREA NICDAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 N PRINCE ST, CLOVIS, NM 88101-4850
(575) 935-0360
Mailing address
1609 N PRINCE ST, CLOVIS, NM 88101-4850
(575) 935-0360
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT6101
NM
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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