Pena, Louis A.

Pena, Louis A. is an sole proprietor health care provider with primary practice located at 530 Demoss St. , Lordsburg NM 88045-2618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Pena, Louis A. can be contacted via phone (575) 542-2313.

Contact Information

Primary practice address
530 Demoss St. Lordsburg NM 88045-2618
Phone: (575) 542-2313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD2016-0288 New Mexico
Laboratories / Clinical Medical Laboratory 291U00000X G72343 California

Profile Details

NPI number 1952793465
LBN Legal business name Pena, Louis A.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2015
Last updated Nov 4th, 2016 - about 9 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 1952793465 NPPES
New Mexico MEDICAID 23451246
New Mexico Other 520681KYWY

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