Womack, Lisa Rene
Womack, Lisa Rene is an individual health care provider with primary practice located at 100 W. Griggs Ave , Las Cruces NM 88001. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Womack, Lisa Rene can be contacted via phone (575) 647-2800.Contact Information
Primary practice address
100 W. Griggs Ave
Las Cruces NM 88001
Phone: (575) 647-2800
Fax: (575) 647-2898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M-08377 | New Mexico |
Profile Details
| NPI number | 1699019422 |
|---|---|
| LBN Legal business name | Womack, Lisa Rene |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2012 |
| Last updated | Aug 28th, 2018 - about 8 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 | 1699019422 | NPPES |
| New Mexico | MEDICAID | 33774366 |
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