Healthcare Provider Details

I. General information

NPI: 1225227119
Provider Name (Legal Business Name): LEEANNE ELIZABETH LACHEY-BARBEE FNP, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 10/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SAN PEDRO DR SE
ALBUQUERQUE NM
87108-5153
US

IV. Provider business mailing address

8308 STRASBURG CT NW
ALBUQUERQUE NM
87120-3842
US

V. Phone/Fax

Practice location:
  • Phone: 505-256-1711
  • Fax:
Mailing address:
  • Phone: 505-899-5849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR20314
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: