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

LOUIS A. PENA

Active Sole Proprietor

LOUIS A. PENA is a General Practice healthcare provider located in LORDSBURG, New Mexico. NPI 1952793465 is currently active in the NPPES registry. Verify at CMS.

General Practice · LORDSBURG, NM

Registration Details

NPI Number
1952793465
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2015 (11.497161720837 yrs)
Last Updated
Nov 4, 2016
Licenses
MD2016-0288 (NM)
G72343 (CA)
Sole Proprietor
Yes

Practice Information

Address
530 DEMOSS ST.
LORDSBURG, NM, 880452618
Browse NM providers · Browse ZIP 88045
Phone
5755422313
Primary Specialty
General Practice
208D00000X
Additional Specialty
Clinical Medical Laboratory
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.