Individual
MR. RANDALL RICHARD LEMKE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P. A.
Contact information
Practice address
1268 E 32ND ST, SILVER CITY, NM 88061-7229
(575) 534-1919
(575) 534-0135
Mailing address
1268 E 32ND ST, SILVER CITY, NM 88061-7229
(575) 534-1919
(575) 534-0135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2006-0052
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83525823
—
NM
Enumeration date
11/28/2006
Last updated
03/07/2023
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