Provider Demographics
NPI:1639471170
Name:LESUER, KYLA R (AE-C, CPFT, RRT)
Entity Type:Individual
Prefix:MRS
First Name:KYLA
Middle Name:R
Last Name:LESUER
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Gender:F
Credentials:AE-C, CPFT, RRT
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Mailing Address - Street 1:2211 LOMAS BLVD NE
Mailing Address - Street 2:4 EAST - PULM DIAGNOSTIC CENTER
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2745
Mailing Address - Country:US
Mailing Address - Phone:505-272-2218
Mailing Address - Fax:505-272-0073
Practice Address - Street 1:2211 LOMAS BLVD NE
Practice Address - Street 2:4 EAST - PULM DIAGNOSTIC CENTER
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2745
Practice Address - Country:US
Practice Address - Phone:505-272-2218
Practice Address - Fax:505-272-0073
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2013-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM7922279E1000X, 2279P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics
No2279E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEducational