Organization
OPTIMIZED WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LACOVARA NP (BUSINESS OWNER, PRACTITIONER)
(505) 417-2859
Entity
Organization
Contact information
Practice address
1 CAMINO DEL SENADOR, TIJERAS, NM 87059-7420
(505) 417-2859
(505) 990-7350
Mailing address
1 CAMINO DEL SENADOR, TIJERAS, NM 87059-7420
(505) 417-2859
(505) 990-7350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/29/2026
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