Lemle, Theodore L.

Lemle, Theodore L. is an individual health care provider with primary practice located at 1900 Redrock Dr Rehoboth Mckinley Christian Health Services, Gallup NM 87301-5682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lemle, Theodore L. can be contacted via phone (505) 863-7200.

Contact Information

Primary practice address
1900 Redrock Dr Rehoboth Mckinley Christian Health Services Gallup NM 87301-5682
Phone: (505) 863-7200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2005-0621 New Mexico

Profile Details

NPI number 1609846658
LBN Legal business name Lemle, Theodore L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609846658 NPPES
Arizona MEDICAID 249012
Arizona Other NM009X31

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