MR. JOHN GERARD LILLO PA
NPI 1790972644
Physician Assistant in Grants, NM

Q: What is John Lillo's NPI number?

The NPI number for John Lillo is 1790972644. It was assigned to this individual provider in the NPPES registry on September 25, 2007. The provider is also known as Mr. John Gerard Lillo Pac.

Q: What is John Lillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Lillo was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2007

LOBO CANYON RD, WESTERN NEW MEXICO CORRECTIONS, GRANTS, NM 87020(505) 876-8360(505) 876-8357 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. John Gerard Lillo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN GERARD LILLO PA (NPI 1790972644) is an individual physician assistant in Grants, New Mexico, licensed in New Mexico (94PA31) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1790972644

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JOHN GERARD LILLOCredential: PA

Location AddressLOBO CANYON RD, WESTERN NEW MEXICO CORRECTIONSGrants, NM 87020-0250

Mailing AddressPo Box 250Grants, NM 87020-0250 · (505) 876-8360 · Fax (505) 876-8357

Phone(505) 876-8360

Fax(505) 876-8357

Sole ProprietorYes

Enumeration DateSeptember 25, 2007

✔ NPI 1790972644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NM · 94PA31

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

LOBO CANYON RD, Grants, NM 87020

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Other Names 1

Professional Name (2)Mr. John Gerard Lillo Pac

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Lillo's NPI number?

The NPI number for John Lillo is 1790972644. It was assigned to this individual provider in the NPPES registry on September 25, 2007. The provider is also known as Mr. John Gerard Lillo Pac.

Where is John Lillo located?

John Lillo practices at Lobo Canyon Rd Western New Mexico Corrections, Grants, NM 87020. The listed phone number is (505) 876-8360.

What is John Lillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for John Lillo was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.