Healthcare Provider Details

I. General information

NPI: 1689806101
Provider Name (Legal Business Name): LYNDSAY MARIE DUREN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2009
Last Update Date: 08/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8011 HARPER DR NE
ALBUQUERQUE NM
87111-1054
US

IV. Provider business mailing address

11324 BURGAN AVE NE
ALBUQUERQUE NM
87111-1852
US

V. Phone/Fax

Practice location:
  • Phone: 505-858-3134
  • Fax:
Mailing address:
  • Phone: 505-263-4674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7125
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: