Individual
RONALD J LEMELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8208 LOUISIANA BLVD NE, SUITE C, ALBUQUERQUE, NM 87113-1757
(505) 858-1222
(505) 858-1224
Mailing address
3411 N 5TH AVE, STE 209, PHOENIX, AZ 85013-3812
(602) 789-0344
(602) 870-7566
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2001PA01
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A7566
—
NM
Enumeration date
06/15/2005
Last updated
11/02/2017
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