Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John Gerard Lillo, PA

Individual provider Physician Assistant · NPI 1790972644

Mr. John Gerard Lillo, PA is a Physician Assistant in Grants, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Partly verified

Some contact details are missing from the federal record.

Lobo Canyon Rd Western New Mexico Corrections
Grants, NM 87020-0250
Phone: (505) 876-8360
Fax: (505) 876-8357
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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 94PA31 (NM)

Record details

NPI number1790972644
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 25, 2007
Last updated in NPPESSeptember 25, 2007

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