377th Medgrp-Kirtland
NPI #1912982810 in Kirtland Afb, New Mexico
Provider Information
- NPI Number
- 1912982810
- Entity Type
- Organization
- Organization Name
- 377th Medgrp-Kirtland
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 377TH MEDGRP-KIRTLAND
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Dec 13, 2005
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 2050A SECOND ST SE
- City
- Kirtland Afb
- State
- New Mexico
- ZIP Code
- 87117-5524
- Phone
- (505) 846-3605
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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