| Lindsay E Lennertz Llc | |
|
901 Rio Grande Blvd Nw Ste H160 Albuquerque NM 87104-2063 | |
| (505) 278-0447 | |
| Not Available |
| Full Name | Lindsay E Lennertz Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 Rio Grande Blvd Nw Ste H160, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lindsay Lennertz (OWNER) |
| Authorized Official Contact | 5052780447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsay E Lennertz Llc 901 Rio Grande Blvd Nw Ste H160 Albuquerque NM 87104-2063 Ph: () - | Lindsay E Lennertz Llc 901 Rio Grande Blvd Nw Ste H160 Albuquerque NM 87104-2063 Ph: (505) 278-0447 |
| NPI Number | 1275280026 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/01/2022 |
| Medicare PECOS PAC ID | 6305209545 |
|---|---|
| Medicare Enrollment ID | O20230906000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275280026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lindsay Elizabeth Lennertz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649582537 PECOS PAC ID: 7214390467 Enrollment ID: I20230906000305 |
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