Individual
MR. RUSSELL WADE LEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
301 HARDING ST, CLAYTON, NM 88415-3321
(575) 374-5733
Mailing address
301 HARDING ST, CLAYTON, NM 88415-3321
(575) 374-5733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2898
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K5719
MEDICAID PROVIDER NUMBER
NM
Enumeration date
09/18/2008
Last updated
09/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us