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Contact Information

LEANDRA LEE MEDINA, DOM, CFMP
7050 BARSTOW ST NE STE B
ALBUQUERQUE, NM87111-1056
 Phone: 505-298-3303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pain

261QP3300X
Indicates primary specialty

NPI Profile & details for LEANDRA LEE MEDINA · (Female)

NPI # 1831734813
Status Active
Credentials DOM, CFMP
Entity Individual
Enumeration date 11/13/2019
Last updated 11/13/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1175
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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