Healthcare Provider Details

I. General information

NPI: 1568399657
Provider Name (Legal Business Name): LAUREN SALCIDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N WATER ST
LAS CRUCES NM
88001-1219
US

IV. Provider business mailing address

1405 LENOX AVE
LAS CRUCES NM
88005-0828
US

V. Phone/Fax

Practice location:
  • Phone: 575-339-1671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: