Provider Demographics
NPI:1154640258
Name:LEMUS, MARIBEL (LM)
Entity Type:Individual
Prefix:MS
First Name:MARIBEL
Middle Name:
Last Name:LEMUS
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 STATE HIGHWAY 434
Mailing Address - Street 2:
Mailing Address - City:GUADALUPITA
Mailing Address - State:NM
Mailing Address - Zip Code:87722
Mailing Address - Country:US
Mailing Address - Phone:305-968-4574
Mailing Address - Fax:
Practice Address - Street 1:1465 STATE HIGHWAY 434
Practice Address - Street 2:
Practice Address - City:GUADALUPITA
Practice Address - State:NM
Practice Address - Zip Code:87722
Practice Address - Country:US
Practice Address - Phone:305-968-4574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM10073R176B00000X
FLMW205176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife