Individual
MR. IAN-MICHAEL ANTHONY LENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1010 BRIDGE BLVD SW, SUITE B, ALBUQUERQUE, NM 87105-3765
(505) 508-1739
Mailing address
512 ASH ST. S.E., APT. #1-B, ALBUQUERQUE, NM 87106
(505) 977-1574
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NM 84PA010
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
990283
UNMH PROVIDER NUMBER
NM
Enumeration date
11/09/2005
Last updated
06/05/2012
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