Individual
LISA J MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2300 GRANDE BLVD SE, RIO RANCHO, NM 87124-1755
(505) 896-7100
Mailing address
2300 GRANDE BLVD SE, RIO RANCHO, NM 87124-1755
(505) 896-7100
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4346
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093182446
—
NM
Enumeration date
09/01/2015
Last updated
04/04/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us