MCKENZIE MACK LAKE

RIO RANCHO, NM
NPI1346793445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  CNP-02964)
Enumeration Date2016-07-26
Last Update Date2023-10-02
Business Address
Mrs. MCKENZIE MACK LAKE FNP
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144-2100
Phone number: 505-550-9863
Mailing Address
Mrs. MCKENZIE MACK LAKE FNP
2225 DELFINIO DR SE
RIO RANCHO, NM 87124-2947
Phone number: 505-550-9863
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