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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA GRIZZLE, COTA

Active Sole Proprietor

LISA GRIZZLE, COTA is a Contractor healthcare provider located in LOS LUNAS, New Mexico. NPI 1700327293 is currently active in the NPPES registry. Verify at CMS.

Contractor · LOS LUNAS, NM

Registration Details

NPI Number
1700327293
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2017 (9.3719314563341 yrs)
Last Updated
Mar 16, 2017
License
3672 (NM)
Sole Proprietor
Yes

Practice Information

Address
330 EL CERRO MISSION
LOS LUNAS, NM, 87031
Browse NM providers · Browse ZIP 87031
Phone
3617728419
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in LOS LUNAS, NM

Name Credential NPI
JEREMY WERDERMAN 1144627274
JANET CREELMAN 1649720822
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.