IndividualActive
Laurence Nicdao
NPI 1841994522 · Physical Medicine & Rehabilitation Physician · Clovis, NM
Provider details
- NPI number
- 1841994522
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- PT6101 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1609 N Prince St
Clovis, NM 88101-4850
Phone: (575) 935-0360
Approximate (ZIP-level) locationGet directions
Mailing address
1609 N Prince St
Clovis, NM 88101-4850
Registry dates
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.