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Individual

DR. LISA REGALADO SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1351 SAN ILDEFONSO RD, LOS ALAMOS, NM 87544-2873
(734) 223-9955
Mailing address
1351 SAN ILDEFONSO RD, LOS ALAMOS, NM 87544-2873
(734) 223-9955

Taxonomy

Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
2005157
NM

Other

Enumeration date
02/18/2012
Last updated
02/18/2012
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