Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Grimaldi, PA-C

Individual provider Physician Assistant · NPI 1790051274

Lisa Grimaldi, PA-C is a Physician Assistant in Albuquerque, New Mexico. Works from 2 locations. Licensed in Arizona, California, Colorado and New Mexico and 1 more.

Licensed in
AZ, CA, CO, NM, UT
In the registry since
2012
Specialties on file
6
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3101 Menaul Blvd NE Ste B
Albuquerque, NM 87107-1872
Phone: (505) 842-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15235 E 38th Ave, Aurora, CO 80011-1239 — (303) 340-3053

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2013-0017 (NM)
Physician Assistant Taxonomy 363A00000X · Licence 5134 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 3371 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 11578037-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 58871 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2013-0017 (NM)

Record details

NPI number1790051274
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 28, 2012
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing addressPo Box 772886, Steamboat Springs, CO 80477-2886

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