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Individual

ALICIA V LACOVARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
1823 CAMINO DE SALUD, ALBUQUERQUE, NM 87106-3782
(505) 272-4866
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76098
NM

Other

Enumeration date
09/29/2023
Last updated
03/20/2025
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