Individual
MRS. LISA MARIE MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE STE 301, ALBUQUERQUE, NM 87102-3619
(505) 727-7096
Mailing address
601 DR MARTIN LUTHER KING JR AVE NE STE 301, ALBUQUERQUE, NM 87102-3619
(505) 727-7096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2007-0034
NM
Other
Enumeration date
10/30/2007
Last updated
12/02/2023
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