Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 10683 | NV |
Y | 207P00000X | Emergency Physician | MD2008-0795 | NM |
N | 207PE0004X | Emergency Medical Services | 10683 | NV |
NPI | 1053313601 |
---|---|
Provider Name | Lauri B Magee |
First Address | Albuquerque, NM 87106-4930 |
Second Address | Albuquerque, NM 87106-4930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2005 |
Last Update Date | 12/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100502990 | (05) | NV |
37103288 | (05) | NM |
H56121 | (02) |