Boulanger, Linda Lucy

Boulanger, Linda Lucy is an individual health care provider with primary practice located at 1700 Cerrillos Rd , Santa Fe NM 87505-3554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Boulanger, Linda Lucy can be contacted via phone (505) 988-9821.

Contact Information

Primary practice address
1700 Cerrillos Rd Santa Fe NM 87505-3554
Phone: (505) 988-9821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 98-18 New Mexico

Profile Details

NPI number 1427140474
LBN Legal business name Boulanger, Linda Lucy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 5th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427140474 NPPES
New Mexico MEDICAID 71203

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