Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | L4801 | TX |
N | 208600000X | Surgeon | L4801 | TX |
N | 2086S0102X | Surgical Critical Care | L4801 | NM |
Y | 2086S0127X | Trauma Surgeon | L4801 | NM |
NPI | 1225077936 |
---|---|
Provider Name | Sonlee West |
First Address | Albuquerque, NM 87106-4374 |
Second Address | Albuquerque, NM 87106-2719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 22/03/2017 |