# PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144364472
- **Authorized official:** DR. JOAN P LEWIS M.D. (PRESIDENT)
- **Authorized official phone:** (505) 248-0698

## Contact information

- **Practice address:** 8005 PENNSYLVANIA CIR NE, ALBUQUERQUE, NM 87110-7810
- **Practice address phone:** (505) 248-0698
- **Practice address fax:** (505) 248-0798
- **Mailing address:** 8005 PENNSYLVANIA CIR NE, ALBUQUERQUE, NM 87110-7810
- **Mailing address phone:** (505) 248-0698
- **Mailing address fax:** (505) 248-0798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | I-1464 | NM | — |
| 208VP0000X | Pain Medicine Physician | 94-300 | NM | Yes |
| 225700000X | Massage Therapist | 3659 | NM | — |
| 225700000X | Massage Therapist | 4735 | NM | — |

## Other

- **Enumeration date:** 02/19/2007
- **Last updated:** 06/21/2018
