NPI 1093182446

Lisa J Medina, RDH

Practitioner Dental Hygienist Rio Rancho, NM

Practice location

Address: 2300 Grande Blvd SE, Rio Rancho, NM 87124-1755
Phone: (505) 896-7100

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH4346 (NM)

Other Dental Hygienist providers in New Mexico →

Registry record

NPI: 1093182446
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2015
Record last updated: 4 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.