Provider Demographics
NPI:1841235587
Name:FISK, FRANCES MCLEMORE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:MCLEMORE
Last Name:FISK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4161 MONTGOMERY BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-6742
Mailing Address - Country:US
Mailing Address - Phone:505-242-5353
Mailing Address - Fax:505-242-9788
Practice Address - Street 1:4161 MONTGOMERY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-6742
Practice Address - Country:US
Practice Address - Phone:505-242-5353
Practice Address - Fax:505-242-9788
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM80-145207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM27756378Medicaid
NM80-145OtherMEDICAL LICENSE
NM80-145OtherMEDICAL LICENSE
NM2122405Medicare PIN