Varoz, Theodore Lawrence

Varoz, Theodore Lawrence is an individual health care provider with primary practice located at 1204 C Candelaria Nw , Albuquerque NM 87107-2766. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Varoz, Theodore Lawrence can be contacted via phone (505) 345-8529.

Contact Information

Primary practice address
1204 C Candelaria Nw Albuquerque NM 87107-2766
Phone: (505) 345-8529
Fax: (505) 345-6410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 219 New Mexico
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 219 New Mexico

Profile Details

NPI number 1417993445
LBN Legal business name Varoz, Theodore Lawrence
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417993445 NPPES
New Mexico MEDICAID 53363
New Mexico Other CS00010705

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