Organization
LISA MARIE STOLARCZYK MD PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE STOLARCZYK M.D. (PHYSICIAN/OWNER)
(505) 270-6499
Entity
Organization
Contact information
Practice address
8 ALICIA ROAD, CEDAR CREST, NM 87008-9450
(505) 270-6499
Mailing address
8 ALICIA ROAD, CEDAR CREST, NM 87008-9450
(505) 270-6499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2010-0743
NM
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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