Individual
LISA K BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
42 EAGLE TRL, TIJERAS, NM 87059-7601
(505) 917-1480
Mailing address
36 PASEO VLG, CLOVIS, NM 88101-3163
(505) 917-1480
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA00517
NM
Other
Enumeration date
07/13/2006
Last updated
04/21/2015
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