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LAZULI THERAPEUTICS
NPI 1538633987
Nurse Practitioner - Family in Albuquerque, NM

Active since January 18, 2019
5800 MCLEOD RD NE STE D, ALBUQUERQUE, NM 87109(505) 508-1167(505) 212-0332 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2019, Jan 18, 2019 (2 updates tracked since 2019).

About Lazuli Therapeutics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAZULI THERAPEUTICS (NPI 1538633987) is a healthcare organization registered as a family in Albuquerque, New Mexico and active in the NPI registry since January 2019. The organization lists Marie Elizabeth Mugavin, Owner, as its authorized official.

NPPES Registry Identity

NPI1538633987
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLAZULI THERAPEUTICS, LLC
Location Address5800 MCLEOD RD NE STE DAlbuquerque, NM 87109-2467
Mailing AddressPo Box 14888Albuquerque, NM 87191-4888 · (505) 508-1167 · Fax (505) 212-0332
Phone(505) 508-1167
Fax(505) 212-0332
Organization SubpartNo
Authorized OfficialMarie Elizabeth MugavinOwner · (505) 508-1167
Enumeration DateJanuary 18, 2019
Last NPPES UpdateMay 24, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1538633987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5800 MCLEOD RD NE STE D, Albuquerque, NM 87109
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Other Names 1

Doing Business AsLazuli Therapeutics

Other Identifiers 1

Other1417186560NM · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIE ELIZABETH MUGAVIN PHD, FNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5800 MCLEOD RD NE STE D
ALBUQUERQUE, NM 87109
Bernalillo County (505) 508-1167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lazuli Therapeutics, LLC's NPI number?

The NPI number for Lazuli Therapeutics, LLC is 1538633987. It was assigned to this organization in the NPPES registry on January 18, 2019. The provider is doing business as Lazuli Therapeutics.

Where is Lazuli Therapeutics, LLC located?

Lazuli Therapeutics, LLC is located at 5800 Mcleod Rd NE Ste D, Albuquerque, NM 87109. The listed phone number is (505) 508-1167.

What is Lazuli Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lazuli Therapeutics, LLC was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.