Louis A. Pena

NPI #1952793465 in Lordsburg, New Mexico

Provider Information

NPI Number: 1952793465
Entity Type: Individual
Name: Louis A. Pena
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: Feb 21, 2015
Last Updated: Nov 4, 2016

Practice Location

Address: 530 DEMOSS ST.
City: Lordsburg
State: New Mexico
ZIP Code: 88045-2618
Phone: (575) 542-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Clinical Medical Laboratory	291U00000X

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