Individual
JUSTEEN BERNEDETTE LORDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6100 PAN AMERICAN FREEWAY NE, STE 100, ALBUQUERQUE, NM 87109-3460
(505) 823-8282
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(503) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD193098
OR
207R00000X
Internal Medicine Physician
MD2020-1097
NM
208000000X
Pediatrics Physician
MD193098
OR
208000000X
Pediatrics Physician
MD2020-1097
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2015
Last updated
07/22/2021
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