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“Physician Assistant” (Grants, NM)

Location: Grants, NM
Taxonomy: Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1790972644 — MR. JOHN GERARD LILLO PA
Practice Location Address:
LOBO CANYON RD WESTERN NEW MEXICO CORRECTIONS
GRANTS NM
87020-0250
Practice Phone: 505-876-8360
1871915702 — JONATHON MICHAEL LAVALLEY PA-C
Practice Location Address:
1423 E ROOSEVELT AVE
GRANTS NM
87020-2245
Practice Phone: 505-287-6500

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