Most Relevant Information
Provider Data
| NPI Number: | 1003812553 |
| Provider Name: | LYDIA MACKLIN CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R37028 |
Most Important Dates
| Enumeration Date: | 06/21/2005 |
| Last Updated: | 08/28/2018 |
Provider Practice Location
855 ANTHONY DR
ANTHONY
NM
88021
Practice Location Phone/Fax
| Phone: | 5758825706 |
| Fax: | 5758822909 |
Provider Mailing Location
385 CALLE DE ALEGRA
BLDG A
LAS CRUCES
NM
880053423
Provider Mailing Phone/Fax
| Phone: | 5755261105 |
| Fax: | 5755244266 |