Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 81-249 | NM |
Y | 111NI0900X | Internist | 81-249 | NM |
N | 207RA0401X | Internist - Addiction Medicine | 81-249 | NM |
NPI | 1417201047 |
---|---|
Provider Name | Dr. Sandra Cheryl Lapham |
First Address | Albuquerque, NM 87102-2602 |
Second Address | Albuquerque, NM 87102-2602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2012 |
Last Update Date | 05/11/2012 |