Lisa Jeanette Dalen


Address: 707 Broadway Blvd Ne, Suite 402, Albuquerque, NM 87102-2366

Lisa Jeanette Dalen (NPI# 1659737385, PAC ID# 6305110297) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1659737385
PAC ID by PECOS 6305110297
Professional Enrollment ID I20170915001317
Full Name Lisa Jeanette Dalen
Address 707 Broadway Blvd Ne
Suite 402
Albuquerque
NM 87102-2366
Gender F
Graduation Year 2008
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
707 Broadway Blvd Ne, Suite 402, Albuquerque, NM 87102-2366

Organization Information

Office Location

Street Address 707 BROADWAY BLVD NE
SUITE 402
City ALBUQUERQUE
State NM
Zip 87102-2366

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Competitor

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City ALBUQUERQUE
Zip Code 87102
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty ALBUQUERQUE + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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