Lise S Wall, D.C.

NPI #1962575175 in Santa Fe, New Mexico

Provider Information

NPI Number: 1962575175
Entity Type: Individual
Name: Lise S Wall, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Nov 16, 2006
Last Updated: Jun 18, 2011

Practice Location

Address: 5 CALIENTE RD
Address 2: STE 2A
City: Santa Fe
State: New Mexico
ZIP Code: 87508-9100
Phone: (505) 466-1429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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