| Jonathon Michael Lavalley, PA-C | |
|
1423 E Roosevelt Ave, Grants, NM 87020-2245 | |
| (505) 287-6500 | |
| (505) 287-5393 |
| Full Name | Jonathon Michael Lavalley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1423 E Roosevelt Ave, Grants, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871915702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2013-0089 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cibola General Hospital | Grants, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Medical Services | 2062324684 | 125 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon Michael Lavalley, PA-C 1423 E Roosevelt Ave, Grants, NM 87020-2245 Ph: (505) 363-5126 | Jonathon Michael Lavalley, PA-C 1423 E Roosevelt Ave, Grants, NM 87020-2245 Ph: (505) 287-6500 |
Francis Walter Malaj, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1423 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-6500 | |
Mr. John Gerard Lillo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Lobo Canyon Rd, Western New Mexico Corrections, Grants, NM 87020 Phone: 505-876-8360 Fax: 505-876-8357 |