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ALBUQUERQUE UROLOGY ASSOCIATES PA NPI 1376569921


NPI Information

NPI: 1376569921
Provider Name: ALBUQUERQUE UROLOGY ASSOCIATES, PA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
610 BROADWAY BLVD NE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 242-3991
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ALBUQUERQUE UROLOGY ASSOCIATES, PA is an urology in Albuquerque, NM. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ALBUQUERQUE UROLOGY ASSOCIATES, PA NPI is 1376569921. The provider is registered as an organization entity type.

The provider's business location address is:

610 BROADWAY BLVD NE
ALBUQUERQUE, NM
ZIP 87102-372
Phone: (505) 242-3991
Fax: (505) 243-8405

The provider's authorized official is Jonathan Edward Lackner .
The authorized official title is Partner / M.d. and has the following contact phone number (505) 242-3991.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/31/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies6682460001NEW MEXICONo
2208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
144361MEDICAIDNEW MEXICO
2CS1373OTHERNEW MEXICORAILROAD MEDICARE
36682460001MEDICARE NSCNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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