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Individual

LYRISA SANCHEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
611 NATIONAL AVE, LAS VEGAS, NM 87701-4243
(505) 426-0700
Mailing address
611 NATIONAL AVE, LAS VEGAS, NM 87701-4243
(505) 426-0700
(505) 426-0702

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-76079
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78525390
NM
Enumeration date
09/28/2023
Last updated
08/26/2025
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