Individual
LISA SPIRIT MATTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13509 COPPER AVE NE APT 4, ALBUQUERQUE, NM 87123-1746
(505) 269-8542
Mailing address
13509 COPPER AVE NE APT 4, ALBUQUERQUE, NM 87123-1746
(505) 269-8542
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
7793
NM
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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