Corro, Lucia T

Corro, Lucia T is an individual health care provider with primary practice located at 2930 Hillrise Dr Suite # 5, Las Cruces NM 88011-4776. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Corro, Lucia T can be contacted via phone (575) 521-0008.

Contact Information

Primary practice address
2930 Hillrise Dr Suite # 5 Las Cruces NM 88011-4776
Fax: (575) 521-0063
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD2004-0025 New Mexico

Profile Details

NPI number 1669472254
LBN Legal business name Corro, Lucia T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jun 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669472254 NPPES
New Mexico MEDICAID 49634216

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