Ereifej, Lisa Khalil
Ereifej, Lisa Khalil is an sole proprietor health care provider with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109. She recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Ereifej, Lisa Khalil can be contacted via phone (505) 727-6200.Contact Information
Primary practice address
6701 Jefferson St Ne
Albuquerque NM 87109
Phone: (505) 727-6200
Fax: (505) 727-9590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / General Acute Care Hospital | 282N00000X | New Mexico | |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD2017-0615 | New Mexico |
Profile Details
| NPI number | 1508142050 |
|---|---|
| LBN Legal business name | Ereifej, Lisa Khalil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2011 |
| Last updated | Nov 18th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508142050 | NPPES |
| New Mexico | MEDICAID | 75250080 |
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