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Individual

DR. LISA A MARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
UNIVERSITY OF NEW MEXICO UNM PALLIATIVE CARE OFC, MSC 11 6020, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4868
(505) 272-8572
Mailing address
UNIVERSITY OF NEW MEXICO UNM PALLIATIVE CARE OFC, MSC 11 6020, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4868
(515) 272-8572

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD2008-0589
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000009652W
HUMANA
05
34416700
WI
Enumeration date
05/15/2006
Last updated
07/27/2008
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