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Individual

MR. RUSSELL LEHRER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2491 SAWMILL RD, 1902, SANTA FE, NM 87505-5681
(505) 995-9588
Mailing address
2491 SAWMILL RD, 1902, SANTA FE, NM 87505-5681
(505) 995-9588

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1863
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41950224
NM
Enumeration date
03/19/2007
Last updated
07/08/2007
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