Jim, Lawanda T

Jim, Lawanda T is an individual health care provider with primary practice located at Us Hwy 491 N , Shiprock NM 87420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jim, Lawanda T can be contacted via phone (505) 368-6001.

Contact Information

Primary practice address
Us Hwy 491 N Shiprock NM 87420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2012-0721 New Mexico

Profile Details

NPI number 1821256900
LBN Legal business name Jim, Lawanda T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2008
Last updated Feb 13th, 2013 - about 12 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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