Individual
MS. LORETTA A CONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
203 HOSPITAL DR, RATON, NM 87740-2012
(505) 445-7793
(505) 445-7743
Mailing address
203 HOSPITAL DR, RATON, NM 87740-2012
(505) 445-7793
(505) 445-7743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91-291
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019763300
BLACK LUNG
—
01
—
1468942
UMWA FUNDS UNITED MINE WO
—
05
—
609536
—
NM
Enumeration date
08/12/2006
Last updated
06/26/2020
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