LISA GRIZZLE, COTA

Contractor

Active Individual
NPI: 1700327293

Practice Address

330 EL CERRO MISSION
Los Lunas, NM 87031

Phone: (361) 772-8419

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 3672 (NM)

Frequently Asked Questions

NPI 1700327293 is the National Provider Identifier for LISA GRIZZLE, COTA, a Contractor provider located in Los Lunas, NM. This NPI was enumerated on March 16, 2017.
LISA GRIZZLE, COTA practices at 330 EL CERRO MISSION, Los Lunas, NM 87031.

Quick Facts

NPI
1700327293
Type
Individual
Enumerated
Mar 16, 2017
Last Updated
Mar 16, 2017

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