Lorine Derusha

NPI #1912538844 in Albuquerque, New Mexico

Provider Information

NPI Number
1912538844
Entity Type
Individual
Name
Lorine Derusha
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 29, 2020
Last Updated
Feb 12, 2025

Practice Location

Address
625 SILVER AVE SW FL 2
ZIP Code
87102-3123
Phone
(506) 273-6849

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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