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NPI Code Detail

MEDICARE: LISA MARIE BARRIOS

MEDICARE:   LISA MARIE BARRIOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramNM

General Provider Information

NPI Number : 1447926555
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIE BARRIOS
Provider Business Mailing Address
First Line : 6330 RIVERSAIDE PLAZA LN SUITE 160
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-0001
Country : US
Telephone Number : 505-444-4127
Fax Number : 505-392-2134
Provider Business Practice Location Address
First Line : 6330 RIVERSIDE PLAZA LN NW STE 160
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-2682
Country : US
Telephone Number : 505-444-4127
Fax Number : 505-392-2134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2021
Last Update Date : 02/20/2024

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Directions to “ LISA MARIE BARRIOS ” Practice Location

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