Search › New Mexico › 207Q00000X
Lawrence Wilson, MD
NPI 1639229040 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5701 Balloon Fiesta Parkway
Care Of Blue Cross Blue Shield Of New Mexico
Albuquerque, NM 87113 - Phone
- (505) 816-2093
- Fax
- (505) 816-3608
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- NM, ND
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico