Individual
LIZETTE ALEJANDRA SIDRANSKY-ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5901 HARPER DRIVE NE, ALBUQUERQUE, NM 87109-3589
(505) 823-8870
Mailing address
5901 HARPER DRIVE NE, ALBUQUERQUE, NM 87109-3589
(505) 823-8870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
63716
NM
363L00000X
Nurse Practitioner
Primary
63716
NM
Other
Enumeration date
05/18/2021
Last updated
08/22/2023
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