Lisa Lande, PH.D.

NPI #1942531942 in Espanola, New Mexico

Provider Information

NPI Number: 1942531942
Entity Type: Individual
Name: Lisa Lande, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jan 15, 2010
Last Updated: Jan 15, 2010

Practice Location

Address: 720 E HACIENDA ST
City: Espanola
State: New Mexico
ZIP Code: 87532-2523
Phone: (505) 753-6769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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