Organization
ST FRANCIS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENYA REESE PAC LM (OWNER)
(505) 983-5017
Entity
Organization
Contact information
Practice address
1494 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(505) 983-7276
(505) 983-5017
Mailing address
1494 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(505) 983-7276
(505) 983-5017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
97-382
NM
207Q00000X
Family Medicine Physician
Primary
97-382
NM
363AM0700X
Medical Physician Assistant
83-PA013
NM
363AM0700X
Medical Physician Assistant
PA2003-0017
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063518961
NPI
NM
01
—
1285731414
NPI
NM
01
—
1942375357
NPI
NM
Enumeration date
04/02/2008
Last updated
04/02/2008
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