Healthcare Provider Details

I. General information

NPI: 1407864218
Provider Name (Legal Business Name): JAMES JOSEPH LEHMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 MONTGOMERY PKWY NE
ALBUQUERQUE NM
87111-3876
US

IV. Provider business mailing address

10401 MONTGOMERY PKWY NE 101
ALBUQUERQUE NM
87111-3876
US

V. Phone/Fax

Practice location:
  • Phone: 505-299-7077
  • Fax: 505-292-6369
Mailing address:
  • Phone: 505-299-7077
  • Fax: 505-292-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number468
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: