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Contact Information

LORI M WILSON
7801 ACADEMY NE
BLDG 2 SUITE 200
ALBUQUERQUE, NM87109
 Phone: 505-273-6300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
 

Histology

246RH0600X
Indicates primary specialty

NPI Profile & details for LORI M WILSON · (Female)

NPI # 1922215474
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2007
Last updated 11/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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