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NPI Code Detail

MEDICARE: LUIGINA MADISON

MEDICARE: LUIGINA MADISON
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1679107718
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIGINA MADISON
Provider Business Mailing Address
First Line : 1320 S SOLANO DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3781
Country : US
Telephone Number : 575-522-4004
Fax Number :
Provider Business Practice Location Address
First Line : 1320 S SOLANO DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3781
Country : US
Telephone Number : 575-522-4004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2020
Last Update Date : 02/27/2020

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Directions to “ LUIGINA MADISON ” Practice Location

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