Healthcare Provider Details

I. General information

NPI: 1891273215
Provider Name (Legal Business Name): CAMILLE AUBIN-LEMAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date: 03/08/2019
Reactivation Date: 03/18/2019

III. Provider practice location address

1 UNIVERSITY OF MEXICO, MSC ORTHOPAEDICS& REHABILITATIO
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-4107
  • Fax: 505-272-8098
Mailing address:
  • Phone: 505-272-1476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberMD2020-0864
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD2020-0864
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD2020-0864
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: