National Provider Identifier Database

LOS ALAMOS PEDIATRIC CLINIC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

LOS ALAMOS PEDIATRIC CLINIC
3917 WEST ROAD
SUITE 136
LOS ALAMOS, NM87544
Phone: 505-662-9620
Fax: 505-662-0024
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for LOS ALAMOS PEDIATRIC CLINIC

NPI Number 1245248830
Legal business name
LBN
LOS ALAMOS PEDIATRIC CLINIC
Authorized official JACQUELINE KROHN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/03/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 79195
  • NM Medicaid: 11783
  • NM Other: NM011552 BCBS
  • NM Other: 6693 HMA NAVAJO NATION
  • NM Other: 10003513 LOVELACE HEALTH
  • NM Other: PROVP13573 MOLINA HEALTHCARE

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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