OrganizationActive
La Bonna Vita Cosmetic Spa, LLC
NPI 1861720757 · Adult Medicine Physician · Albuquerque, NM
Provider details
- NPI number
- 1861720757
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Lester, Managing Member(505) 453-7886
- License
- 89-270 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4333 Pan American Fwy Ne
Suite C
Albuquerque, NM 87107-6831
Phone: (505) 344-6334
Approximate (ZIP-level) locationGet directions
Mailing address
4333 Pan American Fwy Ne
Albuquerque, NM 87107-6831
Registry dates
- Enumerated
- 2009-12-03
- Last updated
- 2009-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.