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Organization
LAVISH MINDFULNESS
Active
Organization
LAVISH MINDFULNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA DEANNE RADOSEVICH PMHNP (PRESIDENT)
(505) 456-2363
Entity
Organization
Contact information
Practice address
7301 VENICE AVE NE, ALBUQUERQUE, NM 87113-2161
(505) 456-2363
Mailing address
9701 MONTGOMERY BLVD NE # 1096, ALBUQUERQUE, NM 87111-3501
(505) 456-2363
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
NULL
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
06/05/2026
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