Meet Our Providers
Every provider at Defiance Health shares the same philosophy: treat the whole person, not just the symptom. Here's the team behind your care.
Jessica Lara, PA-C
Clinical Director & Co-FounderJessica is a nationally board-certified Physician Assistant with over 12 years of clinical experience spanning family medicine, hormone optimization, medical weight loss, and medical aesthetics. She founded Defiance Health to deliver the personalized, transparent care that traditional healthcare often misses — building treatment plans around your life, not a protocol sheet.
Randi Asbell, APRN, FNP-C
Family Nurse PractitionerRandi is a board-certified Advanced Practice Registered Nurse and Family Nurse Practitioner specializing in medical aesthetics, hormone optimization, and acute wellness. Her clinical expertise and patient-first approach make her a natural fit for the Defiance Health team.
Nicholas Lara, MBA
Co-Founder & Operations DirectorNick co-founded Defiance Health with a mission to build a healthcare practice that puts patients first — not insurance companies. He manages operations, strategy, and patient experience across both locations, ensuring every visit runs smoothly from scheduling to follow-up.
Dr. April Goggans
Collaborating PhysicianDr. Goggans provides physician oversight and collaboration for the Defiance Health clinical team. Her medical expertise ensures that all treatment protocols meet the highest standards of safety and clinical excellence.
Dr. Cheri Meder
ProviderDr. Meder brings additional clinical depth to the Defiance Health team, supporting the practice's commitment to comprehensive, evidence-based patient care across hormone optimization and wellness services.
Our Approach to Care
At Defiance Health, you won't see a rotating cast of providers. You'll work with the same person from your first consultation through every follow-up — someone who knows your history, understands your goals, and adjusts your plan as your body changes.
We don't do cookie-cutter protocols. Every treatment plan is built around your labs, your lifestyle, and your definition of feeling like yourself again.
Ready to Meet Your Provider?
Book a free consultation and let's build a plan that works for your body, your goals, and your life.
Schedule Your Consultation