NPI 1700327293

Lisa Grizzle, COTA

Practitioner Contractor Los Lunas, NM

Practice location

Address: 330 El Cerro Mission, Los Lunas, NM 87031
Phone: (361) 772-8419
Mailing address: 306 S Lavaca, Moulton, TX 77975-4854

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 3672 (NM)

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Registry record

NPI: 1700327293
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2017
Record last updated: 16 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.