Provider Demographics
NPI:1376875641
Name:CHEN, LEI (MD)
Entity Type:Individual
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First Name:LEI
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:717 ENCINO PL NE
Mailing Address - Street 2:SUITE 26
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2611
Mailing Address - Country:US
Mailing Address - Phone:505-884-4545
Mailing Address - Fax:505-884-4114
Practice Address - Street 1:717 ENCINO PL NE
Practice Address - Street 2:SUITE 26
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2611
Practice Address - Country:US
Practice Address - Phone:505-884-4545
Practice Address - Fax:505-884-4114
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2017-01-31
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Provider Licenses
StateLicense IDTaxonomies
NMMD2015-0535207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine