Organization
LAGOM HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BRISLEN MD (OWNER)
(505) 280-3126
Entity
Organization
Contact information
Practice address
4600 JEFFERSON LN NE STE D, ALBUQUERQUE, NM 87109-2134
(505) 433-7745
Mailing address
4123 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1102
(505) 280-3126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2011-0202
NM
Other
Enumeration date
07/07/2016
Last updated
09/30/2024
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