Individual
DR. LAWRENCE RUSSELL CANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 AVENIDA ALDEA, SANTA FE, NM 87507-9449
(505) 795-7111
(505) 795-7112
Mailing address
66 AVENIDA ALDEA, SANTA FE, NM 87507-9449
(505) 795-7111
(505) 795-7112
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
98-233
NM
207Q00000X
Family Medicine Physician
Primary
98-233
NM
207ZI0100X
Immunopathology Physician
98-233
NM
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
98-233
NM
Other
Enumeration date
05/22/2007
Last updated
01/19/2016
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