Individual
ISHARA LANKA UDANI HEWA PUHULWELLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2550 SAMARITAN DR, LAS CRUCES, NM 88001-1170
(575) 800-3181
Mailing address
2550 SAMARITAN DR, LAS CRUCES, NM 88001-1170
(575) 800-3181
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2026-0034
NM
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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