Search › New Mexico › 183500000X
Lydia Kakuze
NPI 1265979470 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1604 E Spruce St
Portales, NM 88130 - Phone
- (575) 359-3435
- Fax
- (575) 359-3431
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- NM, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico