Provider Demographics
NPI:1740075381
Name:LAS CRUCES PERSONAL INJURY LLC
Entity type:Organization
Organization Name:LAS CRUCES PERSONAL INJURY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BAISAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-360-4881
Mailing Address - Street 1:2170 E LOHMAN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-8411
Mailing Address - Country:US
Mailing Address - Phone:575-449-7002
Mailing Address - Fax:
Practice Address - Street 1:2170 E LOHMAN AVE STE A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-8411
Practice Address - Country:US
Practice Address - Phone:575-449-7002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0000XNursing Service ProvidersRegistered NursePain ManagementGroup - Single Specialty