OrganizationActive
Albuquerque Urology Associates, PA
NPI 1376569921 · Urology Physician · Albuquerque, NM
Provider details
- NPI number
- 1376569921
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jonathan Lackner, Partner / M.D.
- License
- 6682460001 (NM)
Practice location
610 Broadway Blvd Ne
Albuquerque, NM 87102-2372
Phone: (505) 242-3991
Fax: (505) 243-8405
Mailing address
610 Broadway Blvd Ne
Albuquerque, NM 87102-2372
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2013-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.