Individual
MRS. HOLLAND NELL LAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12419 SMOKEY MOUNTAIN WAY NE, ALBUQUERQUE, NM 87111-7273
(505) 299-6409
Mailing address
12419 SMOKEY MOUNTAIN WAY NE, ALBUQUERQUE, NM 87111-7273
(505) 299-6409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1978
CO
363A00000X
Physician Assistant
Primary
PA2008-0025
NM
Other
Enumeration date
06/10/2008
Last updated
06/02/2009
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