MRS. Mckenzie Mack Lake, FNP is a family nurse practitioner in Rio Rancho, NM with 8 years of experience. MRS. Mckenzie Mack Lake, FNP NPI is 1346793445. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3001 BROADMOOR BLVD NE
RIO RANCHO, NM
ZIP 87144-100
Phone: (505) 550-9863
The NPI 1346793445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/26/2016 and was last updated on 7/26/2016.