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NPI Code Detail

MEDICARE: SANDRA LAUBHAN RN

MEDICARE: SANDRA LAUBHAN RN
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
1163W00000XRegistered NurseR54149NM

General Provider Information

NPI Number : 1801509864
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA LAUBHAN RN
Provider Business Mailing Address
First Line : 2480 N ROADRUNNER PKWY STE B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2480 N ROADRUNNER PKWY STE B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8031
Country : US
Telephone Number : 575-496-2321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2023
Last Update Date : 01/04/2023

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