Mac Lasater
Mac Lasater is a Peer Specialist in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2022.
- Licensed in
- NM
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
13139 Central Ave NEAlbuquerque, NM 87123-3031
Phone: (505) 595-1607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 1397 (NM) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X (NM) |
Record details
| NPI number | 1386387967 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 20, 2022 |
| Last updated in NPPES | July 27, 2026 |
| Certification date | July 27, 2026 |
| Mailing address | 13139 Central Ave Ne, Albuquerque, NM 87123-3031 |
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