Individual
LAWANDA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 SAN PEDRO DR NE BLDG D1, ALBUQUERQUE, NM 87110-8905
(505) 217-1717
Mailing address
9201 MONTGOMERY BLVD NE STE V, ALBUQUERQUE, NM 87111-2470
(505) 217-1717
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2026
NM
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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