Individual
MS. ELIZABETH A LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1519 ICE CAVES RD, GRANTS, NM 87020-9501
(505) 287-0316
Mailing address
1519 ICE CAVES RD, GRANTS, NM 87020-9501
(505) 287-0316
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
4087
NM
Other
Enumeration date
04/26/2008
Last updated
04/26/2008
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