Lilly-Marie Maita Blecher, N.D., DOM
Individual provider Active NPI Acupuncturist · Taos, NM
NPI 1306090907 · NPPES record last updated Nov 8, 2017
Key facts
- NPI
- 1306090907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 1102 (NM)
- Practice address
- 1337 Gusdorf Rd Ste O
Taos, NM 87571-6298 - Phone
- (575) 776-7806
- Fax
- (575) 613-7161
- NPI assigned
- Nov 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102 | NM | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Interoperability endpoints
- lilly-marie.blecher.1@17440.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1102 | NM | Yes |
Addresses
Primary practice location
1337 Gusdorf Rd Ste O
Taos, NM 87571-6298
Mailing address
1337 Gusdorf Rd Ste O
Taos, NM 87571-6298
Phone (575) 776-7806
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.