Organization
CATALINA M PEREZ-LACEY MD PA
Active
Organization
CATALINA M PEREZ-LACEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATALINA PEREZ-LACEY M.D., (OWNER)
(505) 466-8428
Entity
Organization
Contact information
Practice address
103 S SAINT FRANCIS DR, SUITE C, SANTA FE, NM 87501-2458
(505) 466-8428
(505) 466-8428
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16576
—
NM
Enumeration date
10/18/2011
Last updated
12/14/2011
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