Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN GERARD LILLO, PA
Active Sole ProprietorMR. JOHN GERARD LILLO, PA is a Physician Assistant healthcare provider located in GRANTS, New Mexico. NPI 1790972644 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRANTS, NM
Registration Details
- NPI Number
- 1790972644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2007 (18.889183078464 yrs)
- Last Updated
- Sep 25, 2007
- License
-
94PA31 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
LOBO CANYON RDWESTERN NEW MEXICO CORRECTIONSGRANTS, NM, 870200250Browse NM providers · Browse ZIP 87020
- Phone
- 5058768360
- Fax
- 5058768357
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRANTS, NM
| Name | Credential | NPI |
|---|---|---|
| JONATHON MICHAEL LAVALLEY | PA-C | 1871915702 |
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.