Dr. Lauren Elyse Waltersdorf
Family Medicine in Santa Fe, NM. Individual provider (NPI-1).
NPI number1295091007
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1295091007
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lauren Elyse Waltersdorf
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2012
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD2015-0076 | NM | Yes |
Practice location
1035 Alto StSanta Fe, NM 87501-2406
Phone 505-982-4425 · Fax 505-982-8440
Mailing address
1218 Euclid St NwWashington, DC 20009-5330
Phone 248-709-1071
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