Individual
CATALINA PEREZ-LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7 CASA DEL ORO WAY, SANTA FE, NM 87508-8290
(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
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
88243
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450
BCBS
NM
05
—
16576
—
NM
Enumeration date
10/03/2006
Last updated
02/06/2012
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