| Lisa Marie Stolarczyk Md Phd | |
|
8 Alicia Road Cedar Crest NM 87008-9450 | |
| (505) 270-6499 | |
| Not Available |
| Full Name | Lisa Marie Stolarczyk Md Phd |
|---|---|
| Speciality | Family Medicine |
| Location | 8 Alicia Road, Cedar Crest, New Mexico |
| Authorized Official Name and Position | Lisa Marie Stolarczyk (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5052706499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Stolarczyk Md Phd 8 Alicia Road Cedar Crest NM 87008-9450 Ph: (505) 270-6499 | Lisa Marie Stolarczyk Md Phd 8 Alicia Road Cedar Crest NM 87008-9450 Ph: (505) 270-6499 |
| NPI Number | 1023420312 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 05/21/2014 |
| Medicare PECOS PAC ID | 1355668450 |
|---|---|
| Medicare Enrollment ID | O20150331000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023420312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2010-0743 (New Mexico) | Primary |
| Provider Name | Lisa M Stolarczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497930176 PECOS PAC ID: 4880874866 Enrollment ID: I20110208000740 |
Duke City Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008 Phone: 505-281-5180 Fax: 505-281-5320 | |
Duke City Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008 Phone: 505-281-5180 Fax: 505-281-5320 | |
Placitas Mountain Medical, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008 Phone: 505-281-5180 Fax: 505-281-5320 |