Laurence Ostrea Nicdao, is a
Physical Medicine & Rehabilitation physician based in Clovis, New Mexico. Laurence Ostrea Nicdao is licensed to practice in New Mexico (license number PT6101) and his current practice location is 1609 N Prince St, Clovis, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(575) 935-0360.
NPI number for Laurence Ostrea Nicdao is 1841994522 and his current mailing address is 1609 N Prince St, Clovis, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841994522.
Physician's Profile
Full Name | Laurence Ostrea Nicdao |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 1609 N Prince St, Clovis, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841994522
- Provider Enumeration Date: 03/28/2023
- Last Update Date: 03/28/2023
Medical Identifiers
Medical identifiers for Laurence Ostrea Nicdao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841994522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PT6101 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laurence Ostrea Nicdao is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Laurence Ostrea Nicdao, 1609 N Prince St, Clovis, NM 88101-4850 Ph: (575) 935-0360 | Laurence Ostrea Nicdao, 1609 N Prince St, Clovis, NM 88101-4850 Ph: (575) 935-0360 |
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