Individual
LISA KHALIL EREIFEJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109
(505) 727-6200
(505) 727-9590
Mailing address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD2017-0615
NM
282N00000X
General Acute Care Hospital
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75250080
—
NM
Enumeration date
10/28/2011
Last updated
11/18/2019
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