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Mrs. Lisa A Wentling, PA-C
Family Medicine Physician in Cimarron, New Mexico
NPI 1083885560

Lisa A Wentling is a Family Medicine Physician based in Cimarron, NM. Lisa A Wentling practices in Cimarron, NM and has the professional credentials of PA-C. The NPI Number for Lisa A Wentling is 1083885560 and holds a License No. 2008-0063 (New Mexico).

The current practice location address for Lisa A Wentling is 31039 Hwy 64 # B, Cimarron, NM and can be reached out via phone at 575-376-2402.

Location: 31039 Hwy 64 # B, Cimarron, NM, 87714-0625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083885560
Provider Name
Lisa A Wentling
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
31039 Hwy 64 # B, Cimarron, NM, 87714-0625
Phone Number
575-376-2402
Fax Number
Provider Enumeration Date
03/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CS00214130 01 NM PHARMACY
PA2008-0063 01 NM LICENSE
institution
Provider Business Practice Location Address Details
Address
31039 Hwy 64 # B
City
Cimarron
State
New Mexico
Zip
87714-9646
Phone Number
575-376-2402
Fax Number
person
Provider Business Mailing Address Details
Address
31039 Hwy 64 # B
City
Cimarron
State
New Mexico
Zip
87714-9646
Phone Number
575-376-2402
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
C0002467 (Maryland)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2008-0063 (New Mexico)
Definition
Definition to come...
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