| NPI | 1538633987 |
|---|---|
| Doing Business As | LAZULI THERAPEUTICS |
| Entity Type | Organization |
| Authorized Contact | MARIE ELIZABETH MUGAVIN Owner 505-508-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2024-05-24 |