Ms Lisa Marie King, MA,LADAC is a
Counselor - Addiction (substance Use Disorder) based in Canoncito, New Mexico. Ms Lisa Marie King is licensed to practice in New Mexico (license number 0131581) and her current practice location is
86 Medicine Horse Dr., 86 Medicine Horse Dr., Canoncito, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 908-2571.
NPI number for Ms Lisa Marie King is 1144535337 and her current mailing address is 86 Medicine Horse Dr., 86 Medicine Horse Dr., Canoncito, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144535337.
Healthcare Provider's Profile
Full Name | Ms Lisa Marie King |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 86 Medicine Horse Dr., Canoncito, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144535337
- Provider Enumeration Date: 08/11/2010
- Last Update Date: 10/26/2015
Medical Identifiers
Medical identifiers for Ms Lisa Marie King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144535337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 702824 (New Mexico) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0131581 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lisa Marie King is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Lisa Marie King, MA,LADAC 86 Medicine Horse Dr., 86 Medicine Horse Dr., Canoncito, NM 87026-3368 Ph: (505) 908-2571 | Ms Lisa Marie King, MA,LADAC 86 Medicine Horse Dr., 86 Medicine Horse Dr., Canoncito, NM 87026 Ph: (505) 908-2571 |
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