Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | AL3253779 | NM |
NPI | 1063639409 |
---|---|
Provider Name | Dr. Norman D. Lindley |
First Address | Alamogordo, NM 88310-8703 |
Second Address | Alamogordo, NM 88310-8703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AL3253779 | NM LICENSE (01) | NM |