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Individual

LEE MICHAEL ROBAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124-6612
(505) 892-7518
(505) 892-9092
Mailing address
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124-6612
(505) 892-7518
(505) 892-9092

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95 86
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
R5756
NM
Enumeration date
11/21/2006
Last updated
07/08/2007
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