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Individual

MARK P. LESHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5757 HARPER DRIVE NE, ALBUQUERQUE, NM 87109
(505) 888-5757
(505) 889-3589
Mailing address
8801 HORIZON BLVD NE, SUITE 360, ALBUQUERQUE, NM 87113-1533
(505) 828-4923
(505) 213-0103

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
93-95
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05383
NM
05
137457
AZ
01
180015080
RRB MEDICARE RAILROAD
NM
01
NM003129
BC BS OF NM
NM
Enumeration date
10/24/2005
Last updated
04/25/2008
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