Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LA BONNA VITA COSMETIC SPA, LLC
Active
Organization
LA BONNA VITA COSMETIC SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LESTER (MANAGING MEMBER)
(505) 453-7886
Entity
Organization
Contact information
Practice address
4333 PAN AMERICAN FWY NE, SUITE C, ALBUQUERQUE, NM 87107-6831
(505) 344-6334
Mailing address
4333 PAN AMERICAN FWY NE, SUITE C, ALBUQUERQUE, NM 87107-6831
(505) 344-6334
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
89-270
NM
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up