Individual
LISA TEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1515 EUBANK BLVD SE, BLDG. 831/832, ALBUQUERQUE, NM 87123-3453
(505) 844-4237
Mailing address
1515 EUBANK BLVD SE, BLDG. 831/832, ALBUQUERQUE, NM 87123-3453
(505) 844-4237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
230
NM
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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