# LALAVIE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Axiom Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518722859
- **Authorized official:** LISA GONZALES FNP (BUSINESS OWNER)
- **Authorized official phone:** (806) 503-4620

## Contact information

- **Practice address:** 4620 71ST ST SPC 87, LUBBOCK, TX 79424-2261
- **Practice address phone:** (806) 503-4620
- **Practice address fax:** (806) 503-4621
- **Mailing address:** PO BOX 8320, TOPEKA, KS 66608-0320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 02/15/2024
