LISA BAEZA JOHNSON

ALBUQUERQUE, NM
NPI1962514349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NM  MD2018-0781)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO  T2002014678)
Enumeration Date2006-08-31
Last Update Date2018-09-28
Business Address
LISA BAEZA JOHNSON MD
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Phone number: 505-291-2500
Mailing Address
LISA BAEZA JOHNSON MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770