Individual
LIZZET CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 ATRISCO DR NW, ALBUQUERQUE, NM 87120-1627
(505) 462-7500
Mailing address
3901 ATRISCO DR NW, ALBUQUERQUE, NM 87120-1627
(505) 462-7575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2025-0492
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
08/26/2020
Last updated
04/16/2026
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