Individual
IVY LAPAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ALBUQUERQUE NM 87131, ALBUQUERQUE, NM 87131-0001
(505) 277-0111
Mailing address
1 CENTRAL AVE NW APT 631, ALBUQUERQUE, NM 87102-4524
(575) 973-0597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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