Search › New Mexico › 183500000X
Lara Stackonis
NPI 1396284691 · on the registry since 2017 · sole proprietor
Practice
- Address
- 904 Las Lomas Rd Ne
Albuquerque, NM 87102 - Phone
- (505) 924-2661
- Fax
- (720) 914-3341
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-20
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