Individual
MR. LARRY ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
ACOMA-ACOMA-LAGUNA HOSPITAL, EXIT 102 OFF HWY I-40, SAN FIDEL, NM 87049
(505) 831-6300
Mailing address
10221 GREEN RIVER PL NW, ALBUQUERQUE, NM 87114-3966
(505) 977-2967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R54136
NM
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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