Dear Patient,

It has been a true privilege to serve our community for over 30 years and to practice medicine at Associates in Women’s Health Care. After much consideration, I have made the difficult decision to retire early due to medical reasons. My last day seeing patients in the office will be May 31, 2025.

Please know that your care will remain in excellent hands. I have full confidence in my colleagues at Associates in Women’s Health Care, who will continue to provide the high-quality Obstetric and Gynecologic care you deserve. I have specifically entrusted Dr. Andrew Chang to assume responsibility for the care of my patients, and I know he will serve you with the utmost compassion and professionalism.

Our office will be in touch with you to reschedule any existing appointments and assist with the transition.

Thank you for the trust you have placed in me over the years. It has been an honor to be part of your health journey. I wish you continued health and happiness.

Warm regards,

Blake Lambourne, MD
Associates in Women’s Health Care
5 Medical Plaza, Suite 250
Roseville, CA 95661
(916) 782-2229

Adrienne Navarro, WHNP has a passion for complete holistic care for women of all ages. She especially has an interest in post-partum care, sexual education, and adolescent care. She is deeply committed to the counseling and education for her patients on birth control and reproductive options, while ensuring her patients feel empowered to make the best decisions for themselves. As an Army veteran, she has an unbreakable bond to her fellow veterans, active-duty, and their families as she understands the unique life experience. Before becoming a nurse practitioner, Adrienne was a former labor and delivery nurse. She is extremely passionate about discussing the labor process, what to expect, and ways to help you achieve the birthing experience you want while putting emphasis on the safety of both mom and baby. She believes that caring for her patients should be a lifelong partnership, making sure her patients remain healthy both physically and emotionally. According to Adrienne, no question is too silly, so please never hesitate to ask. 

During her free time, Adrienne cherishes every moment with her husband and 2 sons. She loves to read, enjoys learning about space, science, and fun facts with her children!

Educational Background:

Undergraduate: University of Massachusetts- Dartmouth

Graduate: Duke University 

Adrienne is currently pursuing her Doctor of Nursing at Duke University 

Board Certifications: National Certification Corporation- Women’s Health Nurse Practitioner (WHNP-BC)

August 15, 2024

Re: Resignation

Dear patients

I am writing with both heavy heart and excitement to inform you that I have resigned my position with Associates in Women’s Healthcare effective October 30, 2024. I have been privileged to work with many of you as your physician for over 20 years. I have counseled you during dating, delivered your babies, and transitioned you to menopause. It has been an honor. Many of you have become friends as well as patients. I am sorry to the new patients who waited months to see me, only to have me resign.

I am not retiring or leaving the area. I am excited to announce that I am opening a small office in Granite Bay where I will be focusing on wellness, weight loss, hormones, gut health, genetic factors, and even muscle and bone strength. Over the years I have been more interested in a wellness model of practice rather than a sick model of medicine. This new office will showcase this. I will even see men. 

The most common complaint I hear daily is about difficulty losing weight. I have worked extensively with the FDA to develop a compliant and high quality source of peptides for weight loss that are not compounded (from unknow ingredients from China), but are manufactured in the US with the highest quality materials. These peptides minimize or even prevent the muscle loss seen with commercial pharmaceutical products. I will also have complimentary technology to further augment muscle strength and formation, and thus your function and metabolism. 

As a small office, I will not be able to bill insurance, but my patients will have more access to see me. Right now, the wait is almost a year, and is simply too long. I will have a fee schedule, and subscription programs available. More to come on this. If you have a PPO insurance, I will be able to provide you with a superbill to submit to your insurance for re-imbursement. I want to stress that this is a very amicable separation. AIWHC has been my family, and the providers are my friends. I am just going in a new direction. We will share many patients. You can continue to see a provider at AIWHC through your insurance coverage, you can choose to see me at my new office, or you can do a combination of both.

Thank you so much for the opportunity to work with you. I wish you all the best and hope to see you at my new practice! You can email [email protected] if you would like to receive information about the new practice opening and details when available. Your medical records are confidential, and will remain at AIWHC and within EPIC. You will need to sign an authorization to release your records to the new office if desired. That form can be found at www.aiwhc.com or by contacting the office by phone at (916) 782-2229.

Warm Regards & good health,

Denise Sweeney, MD, FACOG