Langford, Mary Lou
Langford, Mary Lou is an individual health care provider with primary practice located at 4400 Lead Ave Se , Albuquerque NM 87108-2844. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Langford, Mary Lou can be contacted via phone (505) 266-3655.Contact Information
Primary practice address
4400 Lead Ave Se
Albuquerque NM 87108-2844
Phone: (505) 266-3655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 212 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 212 | New Mexico |
Profile Details
| NPI number | 1487664132 |
|---|---|
| LBN Legal business name | Langford, Mary Lou |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Mar 2nd, 2010 - about 14 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 | 1487664132 | NPPES |
| New Mexico | Other | 26785 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | Other | NM00Q054 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | MEDICAID | B5268 | PRESBYTERIAN HEALTH PLAN |
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