Search › New Mexico › 363A00000X
Jonathon Lavalley, PA-C
NPI 1871915702 · on the registry since 2014
Practice
- Address
- 1423 E Roosevelt Ave
Grants, NM 87020 - Phone
- (505) 287-6500
- Fax
- (505) 287-5393
- Organisation at this address
- Cibola General Hospital Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico