Individual
LISA S NOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 888-1075
(505) 888-1082
Mailing address
4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 888-1075
(505) 888-1082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002-0281
NM
207R00000X
Internal Medicine Physician
MD20020281
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38536021
—
NM
Enumeration date
03/30/2006
Last updated
01/20/2015
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