MEDICARE: ROXANN ALEXIS LERMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	390200000X	Student in an Organized Health Care Education/Training Program	NM
3	390200000X	Student in an Organized Health Care Education/Training Program	LA

General Provider Information

NPI Number	:	1316578560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANN ALEXIS LERMA MD

Provider Business Mailing Address
First Line	:	2021 PERDIDO ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-1352
Country	:	US
Telephone Number	:	504-962-6110
Fax Number	:	504-568-7884

Provider Business Practice Location Address
First Line	:	MSC10 5610 1 UNIVERSITY OF NEW MEXICO
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87131-0001
Country	:	US
Telephone Number	:	505-272-4161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2020
Last Update Date	:	03/20/2026

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