Lise S Wall is a Chiropractor in Santa Fe, New Mexico. Lise S Wall practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lise S Wall is 1962575175. The last update date is 2011-06-18.
Lise S Wall's current location address is 5 Caliente Rd, Santa Fe, New Mexico. You can contact this provider via phone number 5054661429 and fax number 5054661437. The mailing address for Lise S Wall is 5 Caliente Rd, Santa Fe, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lise S Wall |
|---|---|
| Address | 5 Caliente Rd, Santa Fe, New Mexico |
| Phone Number | 5054661429 |
| Fax Number | 5054661437 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1962575175 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2011-06-18 |
Provider Mailing Address Detail
| Address | 5 Caliente Rd |
|---|---|
| City | Santa Fe |
| State | New Mexico (NM) |
| Post Code | 875089100 |
| Phone Number | 5054661429 |
| Fax Number | 5054661437 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1683 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the Lise S Wall's 1962575175?
The Lise S Wall's NPI (National Provider Identifier) Number is 1962575175. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lise S Wall's facilities are geographically located?
The facilities of Lise S Wall are physically situated at the following location: 5 Caliente Rd, Santa Fe, NM, 875089100.
What is Lise S Wall's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lise S Wall's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Lise S Wall receive its 1962575175 assignment from the Centers for Medicare & Medicaid Services?
The Lise S Wall was assigned its 1962575175 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information regarding Lise S Wall most recently updated?
The details pertaining to the Lise S Wall, including its address, specialty, and other relevant information, were last refreshed on 2011-06-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY