Individual
LISA MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 JOURNAL CENTER BLVD NE FL 2, ALBUQUERQUE, NM 87109-5900
(505) 262-7455
(505) 262-3955
Mailing address
PO BOX 26028, CLINICIAN SERVICES, ALBUQUERQUE, NM 87125-6028
(505) 262-7963
(505) 232-1627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP02168
NM
Other
Enumeration date
10/24/2012
Last updated
06/11/2019
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