MEDICARE: LISA S NOYA MD

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
1	207R00000X	Internal Medicine Physician	MD20020281	NM
2	207R00000X	Internal Medicine Physician	2002-0281	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619938677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA S NOYA MD

Provider Business Mailing Address
First Line	:	4304 CARLISLE BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-4811
Country	:	US
Telephone Number	:	505-888-1075
Fax Number	:	505-888-1082

Provider Business Practice Location Address
First Line	:	4304 CARLISLE BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-4811
Country	:	US
Telephone Number	:	505-888-1075
Fax Number	:	505-888-1082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	01/20/2015

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1053898064 — GWENDOLYN FACCIANO
Practice Location Address:

4304 CARLISLE BLVD NE
ALBUQUERQUE, NM
87107-4811

Practice Phone: 505-433-7561
Practice Fax:

1528852928 — TYONNA ELISA SANCHEZ MSW
Practice Location Address:

4304 CARLISLE BLVD NE
ALBUQUERQUE, NM
87107-4811

Practice Phone: 505-433-7561
Practice Fax:

1568412286 — MRS. KAREN A MANNAL CNP
Practice Location Address:

4304 CARLISLE BLVD NE , FOUR HUMOURS HEALTHCARE
ALBUQUERQUE, NM
87107-4811

Practice Phone: 505-888-1075
Practice Fax: 505-888-1082

1770596777 — STEPHEN C KELLER PA-C
Practice Location Address:

4304 CARLISLE BLVD NE
ALBUQUERQUE, NM
87107-4811

Practice Phone: 505-888-1075
Practice Fax: 505-888-1082

1043376346 — FOUR HUMOURS HEALTHCARE, LLC
Practice Location Address:

4304 CARLISLE BLVD NE
ALBUQUERQUE, NM
87107-4811

Practice Phone: 505-888-1075
Practice Fax: 505-888-1082

Directions to “ LISA S NOYA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.