Lc-Ent, LLC
NPI #1528112109 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1528112109
- Entity Type
- Organization
- Organization Name
- Lc-Ent, LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jan 22, 2007
- Last Updated
- May 14, 2013
Practice Location
- Address
- 1130 COMMERCE DR
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-8209
- Phone
- (575) 521-3025
Authorized Official
- Name
- TERRY H MCMILLAN
- Title
- OWNER
- Phone
- (575) 521-3025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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