Individual
LISA M CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
NONE
NM
172V00000X
Community Health Worker
—
NM
175T00000X
Peer Specialist
Primary
1994
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55405509
—
NM
Enumeration date
02/09/2023
Last updated
06/12/2026
Update your record
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