LISA MICHELLE SONG

ALBUQUERQUE, NM
NPI1255050449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NM  LD-0697)
Enumeration Date2022-08-23
Last Update Date2023-01-17
Business Address
LISA MICHELLE SONG RD
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109-4318
Phone number: 505-727-6200
Mailing Address
LISA MICHELLE SONG RD
4101 INDIAN SCHOOL RD NE STE 110
ALBUQUERQUE, NM 87110-3991
Phone number: 505-727-6200