Healthcare Provider Details

I. General information

NPI: 1124425137
Provider Name (Legal Business Name): LOREIGH CHRISTINE CASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LOREIGH CHRISTINE DIGESU

II. Dates (important events)

Enumeration Date: 11/20/2014
Last Update Date: 11/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 SATURN BLVD
APO AP
70129
US

IV. Provider business mailing address

1790 SATURN BLVD
FPO AA
70129
US

V. Phone/Fax

Practice location:
  • Phone: 505-253-4671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: