Jonathon Michael Lavalley, PA-C
Jonathon Michael Lavalley, PA-C is a Physician Assistant in Grants, New Mexico. Qualified in 2013, 13 years ago. Practices with Presbyterian Medical Services, a 132-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 13
- Licensed in
- NM
- In the registry since
- 2014
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1423 E Roosevelt AveGrants, NM 87020-2245
Phone: (505) 287-6500
Fax: (505) 287-5393
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA2013-0089 (NM) |
|---|
Record details
| NPI number | 1871915702 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | January 12, 2014 |
| Last updated in NPPES | January 12, 2014 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Presbyterian Medical Services — 132 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Grants
-
Mr. John Gerard Lillo, PA
Lobo Canyon Rd Western New Mexico Corrections, Grants, NM 87020-0250 · (505) 876-8360