Individual
MS. LENORA MICHELLE MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 UNSER BLVD SE STE 08200, RIO RANCHO, NM 87124-4740
(505) 823-8777
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD2018-0449
NM
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
MD2018-0449
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2013-0429
NM
Other
Enumeration date
03/17/2013
Last updated
01/13/2022
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