Basic Information
| Provider Information | |||||||||
| NPI: | 1891273215 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AUBIN-LEMAY | ||||||||
| FirstName: | CAMILLE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 UNIVERSITY OF MEXICO, MSC ORTHOPAEDICS& REHABILITATIO | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052724107 | ||||||||
| FaxNumber: | 5052728098 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 UNIVERSITY OF MEXICO, MSC ORTHOPAEDICS& REHABILITATIO | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052724107 | ||||||||
| FaxNumber: | 5052728098 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2018 | ||||||||
| LastUpdateDate: | 05/02/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 03/08/2019 | ||||||||
| NPIReactivationDate: | 03/18/2019 | ||||||||
| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208200000X | MD2020-0864 | NM | N | Allopathic & Osteopathic Physicians | Plastic Surgery | 390200000X | NM | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2082S0105X | MD2020-0864 | NM | Y | Allopathic & Osteopathic Physicians | Plastic Surgery | Surgery of the Hand |
No ID Information.