NPI 1013240563

Vincent John Losack, LMT

Practitioner Specialist Corrales, NM

Practice location

Address: 5606 Corrales Rd, Corrales, NM 87048-8754
Phone: (505) 269-3263

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 6405 (NM)

Other Specialist providers in New Mexico →

Registry record

NPI: 1013240563
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2009
Record last updated: 16 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.