Healthcare Provider Details

I. General information

NPI: 1629801071
Provider Name (Legal Business Name): ALBUQUERQUE SURGICAL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 CONSTITUTION AVE NE
ALBUQUERQUE NM
87110-7552
US

IV. Provider business mailing address

4454 N DECATUR BLVD
LAS VEGAS NV
89130-5286
US

V. Phone/Fax

Practice location:
  • Phone: 702-340-1444
  • Fax:
Mailing address:
  • Phone: 702-340-1244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID ROY LANZKOWSKY
Title or Position: OWNER
Credential: MD
Phone: 702-340-1444