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Justeen Bernedette Lords

Internal Medicine

Allopathic & Osteopathic Physicians

6100 Pan American Freeway NE, Ste 100, Albuquerque, NM 87109-3460

PECOS Enrollment

This provider is enrolled in PECOS as JUSTEEN LORDS.

Based on the most recent information from CMS, provider Justeen Bernedette Lords is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1336528785
Provider Type
Individual
Full Name
Lords, Justeen Bernedette
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/19/2015
Last Updated
7/22/2021

Contact Information

Practice Location

6100 Pan American Freeway NE, Ste 100, Albuquerque, NM 87109-3460

(505) 823-8282

Unlisted Fax

Mailing Location

PO Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666

(503) 923-6770

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD193098 Oregon
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD2020-1097 New Mexico
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License MD2020-1097 New Mexico
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License MD193098 Oregon
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Justeen Bernedette Lords

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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License

Code

Description

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Code

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