Lisa Anne Ethridge

  • NPI 1467005140
According to our database, the NPI number for Lisa Anne Ethridge is 1467005140 and activated since 4 years ago. Lisa Anne Ethridge is an individual provider who specializes in Family, and the primary practice location is 328 Main St Ne, Los Lunas, NM 87031. You can also contact Lisa Anne Ethridge via telephone number is (505) 916-5446. Provider NPI information was last updated on 11/19/2019.

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Overview of Lisa Anne Ethridge

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/22/2019
  • Last updated: 11/19/2019

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 57020
  • License State: NM

Provider Mailing Address

  • Address: 328 Main St Ne
    Los Lunas, NM 87031
  • Phone: 505-916-0533
  • Fax:

Provider Practice Location

  • Address: 328 Main St Ne
    Los Lunas, NM 87031
  • Phone: 505-916-5446
  • Fax:

Scope of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 57020
  • License State: NM
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lisa Anne Ethridge?
  • A: The npi number for Lisa Anne Ethridge is 1467005140.
  • Q: What are Lisa Anne Ethridge's specialties?
  • A: Lisa Anne Ethridge's specialties are Family and different specialities.
  • Q: What is the medical license for Lisa Anne Ethridge?
  • A: The medical license number for Lisa Anne Ethridge is 57020 and issued in NM in USA.
  • Q: Where is Lisa Anne Ethridge practice location?
  • A: Lisa Anne Ethridge is practicing at 328 Main St Ne, Los Lunas, NM 87031.
  • Q: How to contact Lisa Anne Ethridge?
  • A: You can contact Lisa Anne Ethridge via 505-916-5446.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Occupational Health
Sports Physician
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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