Provider Demographics
NPI:1659075158
Name:LAW, SUNDAY (LM)
Entity Type:Individual
Prefix:
First Name:SUNDAY
Middle Name:
Last Name:LAW
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 S SAINT FRANCIS DR STE D
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4053
Mailing Address - Country:US
Mailing Address - Phone:505-310-9358
Mailing Address - Fax:
Practice Address - Street 1:1223 S SAINT FRANCIS DR STE D
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4053
Practice Address - Country:US
Practice Address - Phone:505-310-9358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM06025R176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife