Individual
LEANN A CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-1476
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
6943
AK
208600000X
Surgery Physician
80929
AZ
208600000X
Surgery Physician
A119324
CA
208600000X
Surgery Physician
Primary
MD2018-0692
NM
2086S0129X
Vascular Surgery Physician
MD60512058
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD9848
—
AK
Enumeration date
07/10/2007
Last updated
01/27/2025
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