Individual
DR. LIDA FATEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4550 EUBANK BLVD NE STE 108, ALBUQUERQUE, NM 87111-2565
(702) 886-7075
(505) 272-8060
Mailing address
4550 EUBANK BLVD NE STE 107, ALBUQUERQUE, NM 87111-2565
(505) 485-2545
(505) 657-7309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A187315
NM
Other
Enumeration date
03/27/2012
Last updated
02/04/2026
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