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Lawrence Andrew Decker, PAC
Urgent Care Clinic/Center in Farmington, New Mexico
NPI 1093706699

Lawrence Andrew Decker is a Urgent Care Clinic/Center based in Farmington, NM and is specialized in Urgent Care. Lawrence Andrew Decker practices in Farmington, NM and has the professional credentials of PAC. The NPI Number for Lawrence Andrew Decker is 1093706699 and holds a License No. PA2006-0011 (New Mexico).

The current practice location address for Lawrence Andrew Decker is 3451 N Butler Ave, Farmington, NM and can be reached out via phone at 505-566-1915 and via fax at 505-566-1918.

Location: 3451 N Butler Ave, Farmington, NM, 87401-2357
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Provider Profile Details
NPI Number
1093706699
Provider Name
Lawrence Andrew Decker
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
3451 N Butler Ave, Farmington, NM, 87401-2357
Phone Number
505-566-1915
Fax Number
505-566-1918
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
66439833 05 NM
875114 05 AZ
19375336 05 CO
institution
Provider Business Practice Location Address Details
Address
3451 N Butler Ave
City
State
Zip
87401
Phone Number
505-566-1915
Fax Number
505-566-1918
person
Provider Business Mailing Address Details
Address
3451 N Butler Ave
City
State
Zip
87401
Phone Number
505-566-1915
Fax Number
505-566-1918
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
License No.
PA2006-0011 (New Mexico)
Definition
Definition to come...
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