Organization
LENA CHAVEZ NM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN CUMMINS (OFFICE MANAGER)
(505) 247-1471
Entity
Organization
Contact information
Practice address
4233 MONTGOMERY NE STE 140, ALBUQUERQUE, NM 87109
(505) 247-1471
Mailing address
4233 MONTGOMERY NE STE 140, ALBUQUERQUE, NM 87109
(505) 247-1471
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21720835
—
NM
Enumeration date
07/25/2022
Last updated
07/25/2022
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