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Contact Information

LISA SPERO, CNP
201 PUEBLO VIEW
PEÑASCO, NM87553
 Phone: 575-251-8010
 Fax: 833-438-5215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LISA SPERO · (Female)

NPI Number 1528604303
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 11/27/2019
Last updated 04/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # 59011
  • NM Medicaid H3451
Hospital affiliation(s)
  • DHHS USPHS INDIAN HEALTH SERVICES - (Acute Care)
    EXIT #102 OFF I-40 1/2 MILE SOUTH
    SAN FIDEL, NM 87049
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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