Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 7029 R | NM |
NPI | 1033250329 |
---|---|
Provider Name | Kathleen Ann Lemone |
First Address | Las Cruces, NM 88007-6141 |
Second Address | Las Cruces, NM 88011-5075 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 26/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
96864 | (05) | NM |