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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAWRENCE WOODROW WILSON, MD

Active Sole Proprietor

LAWRENCE WOODROW WILSON, MD is a Family Medicine healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1639229040 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ALBUQUERQUE, NM

Registration Details

NPI Number
1639229040
Provider Type
Individual
Gender
Male
NPI Issued
Jan 11, 2007 (19.60434273 yrs)
Last Updated
Jul 8, 2007
Licenses
99-332 (NM)
4269 (ND)
Sole Proprietor
Yes

Practice Information

Address
5701 BALLOON FIESTA PARKWAY
CARE OF BLUE CROSS BLUE SHIELD OF NEW MEXICO
ALBUQUERQUE, NM, 87113
Browse NM providers · Browse ZIP 87113
Phone
5058162093
Fax
5058163608
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in ALBUQUERQUE, NM

Name Credential NPI
DR. BARRY JAMES BEAVEN M.D. 1578567962
DR. YVONNE D VANARSDALE-IMANI MD 1861497901
DR. FRANCISCO HILARIO CRESPIN M.D. 1679578611
DR. SCOTT T SUNDE M.D. 1558367888
DR. LINDA ANN SMOKER MD 1235135245
SANTIAGO R. MACIAS MD 1154328094
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.