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Organization

NEW MEXICO CLINICAL RESEARCH & OSTEOPOROSIS CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. E MICHAEL LEWIECKI M.D. (OWNER/PRESIDENT)
(505) 855-5525
Entity
Organization

Contact information

Practice address
300 OAK ST NE, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006
Mailing address
300 OAK ST NE, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000Z5691
NM
Enumeration date
10/31/2005
Last updated
11/20/2007
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