Individual
TODD LECESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
3RD FAMILY PRACTICE CTR, 2400 TUCKER NE, ALBUQUERQUE, NM 87131-0001
(505) 272-8566
Mailing address
2400 TUCKER NE, MSC09 5040, ALBUQUERQUE, NM 87131-0001
(505) 272-9828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97-PA03
NM
Other
Enumeration date
07/30/2006
Last updated
01/11/2011
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