Individual provider · Type 1 NPI
John Gerard Lillo, PA
Physician Assistant · Grants, NM
Practice location
Lobo Canyon Rd, Western New Mexico Corrections
Grants, NM 87020-0250
Fax (505) 876-8357
Mailing address
PO Box 250
Grants, NM 87020-0250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 94PA31 (NM) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1790972644
John Gerard Lillo, PA's National Provider Identifier is 1790972644, issued on Sep 25, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grants, NM. The record was last updated on Sep 25, 2007.