# LISA J PERKOWSKI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558550657
- **Authorized official:** DR. LISA J PERKOWSKI MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (505) 887-1282

## Contact information

- **Practice address:** 2409 W PIERCE ST, CARLSBAD, NM 88220-3513
- **Practice address phone:** (505) 887-1282
- **Practice address fax:** (505) 885-9923
- **Mailing address:** 2409 W PIERCE ST, CARLSBAD, NM 88220-3513
- **Mailing address phone:** (505) 887-1282
- **Mailing address fax:** (505) 885-9923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 89276 | NM | Yes |

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 10/15/2007
