Individual
DR. HENRY LAWRANCE MITTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6821 MONTGOMERY NE, STE D, ALBUQUERQUE, NM 87109-1444
(505) 881-8081
Mailing address
6821 MONTGOMERY NE, STE D, ALBUQUERQUE, NM 87109-1444
(505) 881-8081
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
98
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53231
—
NM
Enumeration date
08/04/2006
Last updated
07/08/2007
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