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NPI Code Detail

MEDICARE: DAVID M LANSFORD, PC

MEDICARE: DAVID M LANSFORD, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376421966
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID M LANSFORD, PC
Provider Business Mailing Address
First Line : 305 E LLANO ESTACADO BLVD
Second Line :
City : CLOVIS
State : NM
Zip : 88101-3778
Country : US
Telephone Number : 575-762-3848
Fax Number : 575-762-3848
Provider Business Practice Location Address
First Line : 305 E LLANO ESTACADO BLVD
Second Line :
City : CLOVIS
State : NM
Zip : 88101-3778
Country : US
Telephone Number : 575-762-3848
Fax Number : 575-762-3848
Authorized Official
Title or Position : OWNER / PHARMACIST
Name : DR. MICAH ANDREW LANSFORD
Credential : PHARM.D., RPH
Telephone Number : 575-762-3848
Provider Enumeration Date : 08/22/2025
Last Update Date : 08/22/2025

Similar Medicare Providers

1346455680 — DAVID M LANSFORD, PC
Practice Location Address:
305 E LLANO ESTACADO BLVD
CLOVIS, NM
88101-3778
Practice Phone: 575-762-3848
Practice Fax: 575-762-3840
1376950451 — AMANDA NANTAIS
Practice Location Address:
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CLOVIS, NM
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1285370957 — JOSEPH RAYMOND LUNA JR. PHARMD.
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CLOVIS, NM
88101-3778
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Practice Fax: 575-762-3840
1316899651 — JOSUE VARELAS
Practice Location Address:
1100 W 21ST ST
CLOVIS, NM
88101-4151
Practice Phone: 575-769-2345
Practice Fax: 575-769-9013
1952253296 — CASANDRA VICTORIA LEMONS
Practice Location Address:
1100 W 21ST ST
CLOVIS, NM
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1649122771 — LUCY B GOTORA PMHNP
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Directions to “DAVID M LANSFORD, PC ” Practice Location

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