Provider Demographics
NPI:1275142317
Name:LENORES, STEVE A
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:A
Last Name:LENORES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 MEADOWLARK LN SE APT 315
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-0948
Mailing Address - Country:US
Mailing Address - Phone:505-559-0818
Mailing Address - Fax:
Practice Address - Street 1:1355 MEADOWLARK LN SE APT 315
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-0948
Practice Address - Country:US
Practice Address - Phone:505-559-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider