Individual provider · Type 1 NPI

Jonathon Michael Lavalley, PA-C

Physician Assistant · Grants, NM

NPI number 1871915702 Active

Practice location

1423 E Roosevelt Ave
Grants, NM 87020-2245

Fax (505) 287-5393

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2013-0089 (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 1871915702

Jonathon Michael Lavalley, PA-C's National Provider Identifier is 1871915702, issued on Jan 12, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grants, NM. The record was last updated on Jan 12, 2014.