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1295091007
LAUREN ELYSE WALTERSDORF
SANTA FE, NM
NPI
1295091007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM MD2015-0076)
Enumeration Date
2012-04-05
Last Update Date
2022-07-21
Business Address
Dr. LAUREN ELYSE WALTERSDORF
1035 ALTO ST
SANTA FE, NM 87501-2406
Phone number: 505-982-4425
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Mailing Address
Dr. LAUREN ELYSE WALTERSDORF
1218 EUCLID ST NW
WASHINGTON, DC 20009-5330
Phone number: 248-709-1071
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