Lancer Health Group, LLC
Organization Active NPI Multi-Specialty Clinic/Center · Raton, NM
NPI 1700345436 · NPPES record last updated Apr 1, 2021
Key facts
- NPI
- 1700345436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- LANCER HEALTH GROUP, LLC
- Practice address
- 1400 S 2ND St
Raton, NM 87740-2102 - Phone
- (505) 400-5491
- NPI assigned
- Mar 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Marcia Hefker, FNP-BC
- Title
- Owner/Practitioner
- Phone
- (505) 398-1567
Practitioners 24
-
Marcia Louise Hefker, PMHNP-BC, FNP-BC
-
Lydia Esther Hernandez, LISW
-
Beatrice Olivia Miera, LPCC
-
Valerie Maestas, LMHC
National Provider Directory
Locations
1400 S 2nd St
Raton, NM 87740
Phone (505) 398-1567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1400 S 2ND St
Raton, NM 87740-2102
Mailing address
PO Box 8
Raton, NM 87740-0008
Phone (505) 400-5491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lancerhealthgroup@gmail.com |
Other providers in Raton, NM
- Dionicio Jojola
- Ted Kamp
- Traci Kamp
- La Familia Primary Care
- La Familia Primary Care P C
- Claudia Monica Lange
- Sara Jessanne Lark
- Laurel Escano Laurel
- Margo Leavitt
- Nikole Lemons
All providers in Raton, NM · Multi-Specialty Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.