LAWRENCE WOODROW WILSON

ALBUQUERQUE, NM
NPI1639229040
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  99-332)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ND  4269)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
-- LAWRENCE WOODROW WILSON MD
5701 BALLOON FIESTA PARKWAY CARE OF BLUE CROSS BLUE SHIELD OF NEW MEXICO
ALBUQUERQUE, NM 87113
Phone number: 505-816-2093
Mailing Address
-- LAWRENCE WOODROW WILSON MD
5701 BALLOON FIESTA PARKWAY CARE OF BLUE CROSS BLUE SHIELD OF NEW MEXICO
ALBUQUERQUE, NM 87113
Phone number: 505-816-2093
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