Basic Information
Provider Information
NPI: 1184914848
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUFF
FirstName: AMY
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: LAMPRECHT
OtherFirstName: AMY
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 933 BRADBURY DR SE
Address2: SUITE 2222
City: ALBUQUERQUE
State: NM
PostalCode: 871064374
CountryCode: US
TelephoneNumber: 5052723120
FaxNumber: 5052728060
Practice Location
Address1: 2211 LOMAS BLVD NE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871062719
CountryCode: US
TelephoneNumber: 5052725551
FaxNumber: 5052726845
Other Information
ProviderEnumerationDate: 04/14/2011
LastUpdateDate: 07/09/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD2014-0023NMY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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