Visanko, Laura J.
Visanko, Laura J. is an individual health care provider with primary practice located at 4151 Camino Coyote Suite A, Las Cruces NM 88011-5111. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Visanko, Laura J. can be contacted via phone (575) 522-0484.Contact Information
Primary practice address
4151 Camino Coyote Suite A
Las Cruces NM 88011-5111
Phone: (575) 522-0484
Fax: (575) 522-0483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 731 | New Mexico |
Profile Details
| NPI number | 1972518637 |
|---|---|
| LBN Legal business name | Visanko, Laura J. |
| Credentials | MOTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Mar 8th, 2017 - about 8 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 | 1972518637 | NPPES |
| New Mexico | Other | PROVP16915 | MOLINA HEALTH PLAN |
| New Mexico | MEDICAID | 79400507 | MOLINA HEALTH PLAN |
| New Mexico | Other | NM00Q038 | MOLINA HEALTH PLAN |
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