NPI 1376569921

Albuquerque Urology Associates, PA

Organisation Urology Physician Albuquerque, NM

Practice location

Address: 610 Broadway Blvd NE, Albuquerque, NM 87102-2372
Phone: (505) 242-3991
Fax: (505) 243-8405

Authorised official

Name: Jonathan Edward Lackner
Title: Partner / M.D.
Phone: (505) 242-3991

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in New Mexico →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 6682460001 (NM)

Other Durable Medical Equipment & Medical Supplies providers in New Mexico →

Registry record

NPI: 1376569921
Entity type: Organization
NPI issued: 15 Jul 2006
Record last updated: 31 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.