Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHON MICHAEL LAVALLEY, PA-C
ActiveJONATHON MICHAEL LAVALLEY, PA-C is a Physician Assistant healthcare provider located in GRANTS, New Mexico. NPI 1871915702 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRANTS, NM
Registration Details
- NPI Number
- 1871915702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2014 (12.591287916611 yrs)
- Last Updated
- Jan 12, 2014
- License
-
PA2013-0089 (NM)
Practice Information
- Address
-
1423 E ROOSEVELT AVEGRANTS, NM, 870202245Browse NM providers · Browse ZIP 87020
- Phone
- 5052876500
- Fax
- 5052875393
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRANTS, NM
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN GERARD LILLO | PA | 1790972644 |
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.