person
Lisa Jill Mick, OT
Specialist in Albuquerque, New Mexico
NPI 1821189473

Lisa Jill Mick is a Specialist based in Albuquerque, NM. Lisa Jill Mick practices in Albuquerque, NM and has the professional credentials of OT. The NPI Number for Lisa Jill Mick is 1821189473 and holds a License No. 1421 (New Mexico).

The current practice location address for Lisa Jill Mick is 5200 Copper Ave Ne, Albuquerque, NM and can be reached out via phone at 505-255-5099.

Location: 5200 Copper Ave Ne, Albuquerque, NM, 87108-1473
person
Provider Profile Details
NPI Number
1821189473
Provider Name
Lisa Jill Mick
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
5200 Copper Ave Ne, Albuquerque, NM, 87108-1473
Phone Number
505-255-5099
Fax Number
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B7913 05 NM
institution
Provider Business Practice Location Address Details
Address
5200 Copper Ave Ne
City
State
Zip
87108-1473
Phone Number
505-255-5099
Fax Number
person
Provider Business Mailing Address Details
Address
5200 Copper Ave Ne
City
State
Zip
87108-1473
Phone Number
505-255-5099
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
1421 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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