Basic Information
| Provider Information | |||||||||
| NPI: | 1326276320 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEMLEY | ||||||||
| FirstName: | TAMRA | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | MSC10 5590 | ||||||||
| Address2: | 1 UNIVERSITY OF NEW MEXICO | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052723172 | ||||||||
| FaxNumber: | 5052723028 | ||||||||
| Practice Location | |||||||||
| Address1: | MSC10 5590 | ||||||||
| Address2: | 1 UNIVERSITY OF NEW MEXICO | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052723172 | ||||||||
| FaxNumber: | 5052723028 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2009 | ||||||||
| LastUpdateDate: | 09/29/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 04-35795 | KS | Y | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 2013030586 | MO | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | MD2015-0735 | NM | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.