Individual provider · NPI-1

Theodore L. Lemle, MD

Surgery · Gallup, NM

NPI number1609846658
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1609846658
Entity type
Individual (NPI-1)
Name
Theodore L. Lemle
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 24, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryMD2005-0621NMYes

Practice location

1900 Redrock Dr
Rehoboth Mckinley Christian Health Services
Gallup, NM 87301-5682

Phone 505-863-7200

Mailing address

1901 Redrock Dr
Pfs Dept
Gallup, NM 87301-5683

Phone 505-863-7000

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