Lloyd Percell

NPI 1083682793 - Physician Assistant - 363A00000X

NPI Details
NPI 1083682793
Gender Male
Enumeration Date 03/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2130 FARMINGTON AVE
FARMINGTON NM, 87401-2123, US
Phone (505) 325-2323
Fax
Business Location
4900 SANDALWOOD DR
FARMINGTON NM, 87402-4800, US
Phone (505) 326-4361
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New Mexico
License Number 2000-PA19
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According to our database, Lloyd Percell NPI is 1083682793, taxonomy code is 363A00000X and license number is 2000-PA19, license state is located at New Mexico. Lloyd Percell physically located at 2130 Farmington Ave, Farmington NM, 87401-2123. NPI Number Lloyd Percell has the Individual type.

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1083682793 NPI number is provided on an as is basis without warranty of any kind. 1083682793 is maintained by the National Plan & Provider Enumeration System. The contents of Lloyd Percell are for informational purposes only.