Laudicina, Laurence R

Laudicina, Laurence R is an individual health care provider with primary practice located at 4700 Jefferson St Ne Ste 800 , Albuquerque NM 87109-2132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Laudicina, Laurence R can be contacted via phone (505) 932-7112.

Contact Information

Primary practice address
4700 Jefferson St Ne Ste 800 Albuquerque NM 87109-2132
Phone: (505) 932-7112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD2008-0045 New Mexico
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD2008-0045 New Mexico

Profile Details

NPI number 1134108186
LBN Legal business name Laudicina, Laurence R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Nov 9th, 2022 - about 2 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 1134108186 NPPES
New Mexico MEDICAID 76736326

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