Clugston, Lisa
Clugston, Lisa is an sole proprietor health care provider with primary practice located at 4686 Corrales Rd Ste 4E , Corrales NM 87048-8658. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clugston, Lisa can be contacted via phone (505) 238-6420.Contact Information
Primary practice address
4686 Corrales Rd Ste 4E
Corrales NM 87048-8658
Phone: (505) 238-6420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0142491 | New Mexico |
Profile Details
| NPI number | 1073706768 |
|---|---|
| LBN Legal business name | Clugston, Lisa |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2007 |
| Last updated | Mar 8th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073706768 | NPPES |
| New Mexico | MEDICAID | 92189873 |
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