Individual
DR. CECILIA CARPIO LACOURSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 W 21ST ST, CLOVIS, NM 88101
(505) 769-2345
(505) 769-8974
Mailing address
1903 RAINTREE BLVD, CLOVIS, NM 88101
(505) 762-4473
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD20040312
NM
Other
Enumeration date
10/25/2006
Last updated
10/10/2023
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