Organization
LISA J PERKOWSKI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA J PERKOWSKI MD (OWNER/PHYSICIAN)
(505) 887-1282
Entity
Organization
Contact information
Practice address
2409 W PIERCE ST, CARLSBAD, NM 88220-3513
(505) 887-1282
(505) 885-9923
Mailing address
2409 W PIERCE ST, CARLSBAD, NM 88220-3513
(505) 887-1282
(505) 885-9923
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
89276
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000N4515
—
NM
Enumeration date
10/15/2007
Last updated
10/15/2007
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