Healthcare Provider Details

I. General information

NPI: 1619843554
Provider Name (Legal Business Name): DROPSEED LIFESTYLE MEDICINE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 S MAIN ST
LAS CRUCES NM
88001-1266
US

IV. Provider business mailing address

PO BOX 701
LAS CRUCES NM
88004-0701
US

V. Phone/Fax

Practice location:
  • Phone: 575-636-7326
  • Fax:
Mailing address:
  • Phone: 575-636-7326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State

VIII. Authorized Official

Name: DAVENA MARIE NORRIS
Title or Position: PHARMACIST CLINICIAN, OWNER
Credential: PHARMD
Phone: 575-636-7326