Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A127104 | CA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD2020-1052 | NM |
NPI | 1619301256 |
---|---|
Provider Name | Laura Emily Cotter |
First Address | Albuquerque, NM 87131-0001 |
Second Address | Albuquerque, NM 87131-3156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2013 |
Last Update Date | 13/08/2021 |