King, Lisa
King, Lisa is an sole proprietor health care provider with primary practice located at 8300 Carmel Ave Ne Suite 403, Albuquerque NM 87122-3147. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. King, Lisa can be contacted via phone (505) 299-7678.Contact Information
Primary practice address
8300 Carmel Ave Ne Suite 403
Albuquerque NM 87122-3147
Phone: (505) 299-7678
Fax: (505) 299-7670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 1752 | New Mexico |
Profile Details
| NPI number | 1336138684 |
|---|---|
| LBN Legal business name | King, Lisa |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1336138684 | NPPES |
| New Mexico | MEDICAID | 84698 |
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