Individual
DR. LISA E MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
454 ST MICHAELS DR STE 200, SANTE FE, NM 87505-7602
(505) 303-5000
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.009872
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
57.009872
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD2013-0792
NM
Other
Enumeration date
11/01/2006
Last updated
10/05/2023
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