LAWRENCE WOODROW WILSON MD
NPI 1639229040
Family Medicine in Albuquerque, NM

Active since January 11, 2007
5701 BALLOON FIESTA PARKWAY, CARE OF BLUE CROSS BLUE SHIELD OF NEW MEXICO, ALBUQUERQUE, NM 87113(505) 816-2093(505) 816-3608 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lawrence Woodrow Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE WOODROW WILSON MD (NPI 1639229040) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (99-332) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1639229040
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLAWRENCE WOODROW WILSONCredential: MD
Location Address5701 BALLOON FIESTA PARKWAY, CARE OF BLUE CROSS BLUE SHIELD OF NEW MEXICOAlbuquerque, NM 87113
Mailing Address5701 Balloon Fiesta Parkway, Care Of Blue Cross Blue Shield Of New MexicoAlbuquerque, NM 87113 · (505) 816-2093 · Fax (505) 816-3608
Fax(505) 816-3608
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1639229040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NM · 99-332 Licensed in ND · 4269
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5701 BALLOON FIESTA PARKWAY, Albuquerque, NM 87113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Wilson's NPI number?

The NPI number for Lawrence Wilson is 1639229040. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Lawrence Wilson located?

Lawrence Wilson practices at 5701 Balloon Fiesta Parkway Care Of Blue Cross Blue Shield Of New Mexico, Albuquerque, NM 87113. The listed phone number is (505) 816-2093.

What is Lawrence Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lawrence Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.