Individual
LEANDRA LEE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM, CFMP
Contact information
Practice address
7050 BARSTOW ST NE STE B, ALBUQUERQUE, NM 87111-1056
(505) 298-3303
Mailing address
7050 BARSTOW ST NE STE B, ALBUQUERQUE, NM 87111-1056
(505) 298-3303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1175
NM
261QP3300X
Pain Clinic/Center
1175
NM
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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