Individual
MRS. LISA P. MALECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
516 E NIZHONI BLVD STE 350, GALLUP, NM 87301-5748
(505) 722-1790
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1851002
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP1851002
FL
Other
Enumeration date
08/02/2010
Last updated
02/04/2026
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