Laurence Goddard MD

NPI 1093778425 - Internal Medicine - 207R00000X

NPI Details
NPI 1093778425
Gender Male
Enumeration Date 04/07/2006
Last Updated 07/21/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
3917 WEST RD
SUITE A
LOS ALAMOS NM, 87544-2275, US
Phone (505) 661-8900
Fax (505) 661-8916
Business Location
3917 WEST RD
SUITE A
LOS ALAMOS NM, 87544-2275, US
Phone (505) 661-8900
Fax (505) 661-8916
Toxanomy
Taxonomy Code 207R00000X
License State New Mexico
License Number NM 76-177
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According to our database, Dr. Laurence Goddard MD NPI is 1093778425, taxonomy code is 207R00000X and license number is NM 76-177, license state is located at New Mexico. Laurence Goddard MD physically located at 3917 West Rd, Los Alamos NM, 87544-2275. NPI Number Laurence Goddard MD has the Individual type.

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1093778425 NPI number is provided on an as is basis without warranty of any kind. 1093778425 is maintained by the National Plan & Provider Enumeration System. The contents of Laurence Goddard MD are for informational purposes only.