Individual
LUCAS CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 WILLOW RD NW, ALBUQUERQUE, NM 87107-6060
(505) 967-6247
Mailing address
6418 GRAYSON HILLS DR NE, RIO RANCHO, NM 87144-0827
(505) 967-6247
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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