Lisa Marie Goodrich, MD | |
12000 Stone Lake Road, Dulce, NM 87528 | |
(505) 759-3291 | |
Not Available |
Full Name | Lisa Marie Goodrich |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 12000 Stone Lake Road, Dulce, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962422477 | NPI | - | NPPES |
000K3526 | Medicaid | NM | |
HSZ196 | Other | NM | MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M7090 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lisa Marie Goodrich, MD Po Box 187, Dulce, NM 87528-0187 Ph: (505) 759-3291 | Lisa Marie Goodrich, MD 12000 Stone Lake Road, Dulce, NM 87528 Ph: (505) 759-3291 |
Sirpa T. Autio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 N Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3532 | |
Ms. Jennifer Lea Lea Claycomb, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 505-759-3291 Fax: 505-759-3532 | |
Dr. Joan E Kandel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Medicine Way, Dulce, NM 87528 Phone: 505-360-5995 | |
Steven John Petrakis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294 | |
Dr. Bichson Pham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 | |
Steven Paul Gross, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Dulce, NM 87528 Phone: 575-759-7232 Fax: 575-759-7294 | |
Dr. Raquel Irene Cisneros, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N. Mundo Dr., Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294 |