Healthcare Provider Details

I. General information

NPI: 1235216086
Provider Name (Legal Business Name): LISA E MCGUIRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA E STRICKLAND MD

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2968 RODEO PARK DR W STE 200
SANTA FE NM
87505-6394
US

IV. Provider business mailing address

2968 RODEO PARK DR W STE 200
SANTA FE NM
87505-6394
US

V. Phone/Fax

Practice location:
  • Phone: 505-913-4212
  • Fax: 505-913-6778
Mailing address:
  • Phone: 505-913-4212
  • Fax: 505-913-6778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD2013-0792
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number57.009872
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57.009872
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: