I have done some further digging on this, and am replying so others who find this info save some head-scratching.
It seems that the LPDDR4 temperature sensor is accessible through the MR4 mode register on the memory chip. However, MR4 does not provide raw temperature, it provides a set of bitfields that suggest the appropriate scaling of the memory refresh rate based on the raw temperature. There does not appear to (in general) be a way to get raw temperature measurements from the LPDDR4 module temperature sensor itself.
A representative datasheet describing the process is here:https://www.micron.com/-/media/client/global/documents/products/data-sheet/dram/mobile-dram/low-powe... see page 44 and page 190
So I assume it is usual for the operating system to regularly poll MR4, and then update the processor DDRC refresh registers. One could hook into this process to find out if the LPDDR4 is particularly high or low temperature.