Organization
ELITE PROSTHETICS
Active
Organization
ELITE PROSTHETICS
Active
Other names
CPOD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN M LOTT NP (CEO)
(505) 244-0404
Entity
Organization
Contact information
Practice address
5095 ELLISON ST NE, SUITE B, ALBUQUERQUE, NM 87109-4326
(505) 550-5290
(505) 244-0708
Mailing address
5095 ELLISON ST NE, SUITE B, ALBUQUERQUE, NM 87109-4326
(505) 550-5290
(505) 244-0708
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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