About Defiance Health: Our Team & Our Mission
Our experienced medical providers & passionate staff consider it the highest privilege to serve you. Our clinical expertise includes hormone therapy, weight management, physical performance, & a broad range of aesthetic treatments — our outcomes are unmatched. Through our comprehensive health evaluations, medication management, lab testing, lifestyle coaching, and other innovative tools including IV therapy, body contouring, skin tightening, lasers, phototherapy, & much more, we create an experience of health & wellness unlike any other. Connect with us now to design the life you deserve.
Experience Comfort & Confidence
A modern approach
Enjoy convenient & personalized medical care, plus the most effective tools available to achieve your goals. Defying the status quo, we’ve created a system designed around our patients’ needs. Whether in-person or through Telehealth, we are driven to exceed your expectations.
Our Team
Jessica Lara, PA-C
Clinical Director, COO
Nicholas Lara, MBA
CEO
Randi Asbell, NP-C
Nurse Practitioner, Alamosa
Dr. April Goggans, DO
Medical Director
Dr. Cheri Meder, Ph.D.
Aesthetician, Alamosa
Join Our Team
“For the strength of the pack is the wolf, and the strength of the wolf is the pack.”
At Defiance Health, this belief isn’t just a quote — it’s how we practice medicine.
We believe that strong individuals create strong communities, and that the right support system allows individuals to become their strongest, healthiest selves. Health is not built in isolation. It’s built through knowledge, accountability, consistency, and community.
A Different Approach to Health
Defiance Health was created to challenge the reactive, fragmented model of healthcare. Instead of waiting for problems to arise, we focus on proactive, data-driven optimization — supporting strength, longevity, and resilience at every stage of life.
Our approach blends:
Evidence-based hormone optimization
Medical weight management and metabolic health
Advanced body composition analysis
Regenerative and aesthetic treatments that support long-term health
Education that empowers patients to understand their bodies and choices
We don’t believe in quick fixes. We believe in durable results.
The Strength of the Individual
Every person who walks through our doors is an active participant in their care. Our patients are motivated, engaged, and committed — not just to feeling better today, but to building health that lasts for decades.
When individuals take ownership of their health:
Outcomes improve
Confidence grows
Quality of life expands
A stronger individual strengthens the whole pack.
The Strength of the Pack
At Defiance, no one does this alone.
Our team of experienced providers works collaboratively, guided by data, clinical experience, and a shared commitment to excellence. We provide structure, clarity, and long-term strategy — so our patients don’t have to navigate complex health decisions on their own.
Through personalized care plans, ongoing monitoring, and a community rooted in strength and support, the pack lifts the individual — every step of the way.
Our Mission
To advance wellness through strength — inside and out.
We exist to help people:
Stay active and capable longer
Preserve strength, vitality, and confidence
Defy the odds of decline through informed, intentional care
At Defiance Health, the strength of the pack is the individual — and the strength of the individual is the pack.