| Life Family Healthcare, Llc | |
|
717 Encino Pl Ne Suite 4 Albuquerque NM 87102-2611 | |
| (150) 537-9394 | |
| Not Available |
| Full Name | Life Family Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 717 Encino Pl Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Marilou T Linatoc (CNP) |
| Authorized Official Contact | 5053793941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Family Healthcare, Llc 717 Encino Pl Ne Suite 4 Albuquerque NM 87102-2611 Ph: () - | Life Family Healthcare, Llc 717 Encino Pl Ne Suite 4 Albuquerque NM 87102-2611 Ph: (150) 537-9394 |
| NPI Number | 1124470703 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 07/07/2016 |
| Medicare PECOS PAC ID | 0345536975 |
|---|---|
| Medicare Enrollment ID | O20160908001480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124470703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CNP 01894 (New Mexico) | Primary |
| Provider Name | Marilou T Linatoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679506349 PECOS PAC ID: 0941267132 Enrollment ID: I20120229000601 |
| Provider Name | Erica Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447845409 PECOS PAC ID: 3779991567 Enrollment ID: I20210415001629 |
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