Search › New Mexico › 171100000X
Lisa Wilson, D.O.M
NPI 1306976568 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1433 Monterey Dr
Santa Fe, NM 87505 - Phone
- (505) 989-4038
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico