# NATURAL BALANCE PAIN AND WELLNESS CENTER INC.

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

## Provider details

- **NPI number:** 1215365358
- **Authorized official:** DR. RANDY LEE JR. DN (CEO)
- **Authorized official phone:** (815) 603-9755

## Contact information

- **Practice address:** 1258 ORTIZ DR SE, 301-303, ALBUQUERQUE, NM 87108-4635
- **Practice address phone:** (815) 603-9755
- **Mailing address:** 6409 SUNNY DAY CT NW, ALBUQUERQUE, NM 87120-6144
- **Mailing address phone:** (815) 603-9755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172P00000X | Naprapath | 0021 | NM | Yes |
| 207Q00000X | Family Medicine Physician | MD2007-0654 | NM | — |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 10/29/2013