Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lauren Elyse Waltersdorf

Individual provider Family Medicine Physician · NPI 1295091007

Dr. Lauren Elyse Waltersdorf is a Family Practice in Santa Fe, New Mexico. Graduated from Georgetown University School of Medicine in 2012, 14 years ago. Practices with St Vincent Hospital, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
14
Trained at
Georgetown University School of Medicine
Licensed in
NM
In the registry since
2012
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Practice location Address checks out

1035 Alto St
Santa Fe, NM 87501-2406
Phone: (505) 982-4425
Fax: (505) 982-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD2015-0076 (NM)

Record details

NPI number1295091007
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 5, 2012
Last updated in NPPESJuly 21, 2022
Mailing address1218 Euclid St Nw, Washington, DC 20009-5330

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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