Andrade, Lawrence
Andrade, Lawrence is an individual health care provider with primary practice located at 517 Nizhoni Blvd , Gallup NM 87301-5757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andrade, Lawrence can be contacted via phone (505) 722-6603.Contact Information
Primary practice address
517 Nizhoni Blvd
Gallup NM 87301-5757
Phone: (505) 722-6603
Fax: (505) 722-6111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2003-0154 | New Mexico |
Profile Details
| NPI number | 1619955176 |
|---|---|
| LBN Legal business name | Andrade, Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Jul 26th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619955176 | NPPES |
| New Mexico | Other | 201042926 | PRESBYTERIAN HEALTH/SALUD |
| New Mexico | MEDICAID | 77609867 | PRESBYTERIAN HEALTH/SALUD |
| New Mexico | Other | NM009L08 | PRESBYTERIAN HEALTH/SALUD |
| New Mexico | Other | 11491288 | PRESBYTERIAN HEALTH/SALUD |
| New Mexico | Other | 806226 | PRESBYTERIAN HEALTH/SALUD |
| New Mexico | Other | QMP000003701894 | PRESBYTERIAN HEALTH/SALUD |
| New Mexico | Other | 85031326887301A162 | PRESBYTERIAN HEALTH/SALUD |
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