Healthcare Provider Details

I. General information

NPI: 1871730929
Provider Name (Legal Business Name): DOWNTOWN CHIROPRACTIC CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LOMAS BLVD NW SUITE #1
ALBUQUERQUE NM
87102-1863
US

IV. Provider business mailing address

1100 LOMAS BLVD NW SUITE #1
ALBUQUERQUE NM
87102-1863
US

V. Phone/Fax

Practice location:
  • Phone: 505-242-8400
  • Fax: 505-242-4340
Mailing address:
  • Phone: 505-242-8400
  • Fax: 505-242-4340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1323
License Number StateNM

VIII. Authorized Official

Name: DR. THOMAS LEHMAN
Title or Position: PRES/OWNER
Credential: DC
Phone: 505-242-8400