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NPI 1700327293

IndividualActive

Lisa Grizzle, COTA

NPI 1700327293 · Contractor · Los Lunas, NM

Provider details

NPI number: 1700327293
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: COTA
Sex: Female
Sole proprietor: Yes
License: 3672 (NM)

Practice location

330 El Cerro Mission

Los Lunas, NM 87031

Phone: (361) 772-8419

More NM providers

Mailing address

306 S Lavaca

Moulton, TX 77975-4854

Registry dates

Enumerated: 2017-03-16
Last updated: 2017-03-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Lisa Grizzle, COTA — NPI 1700327293, Los Lunas, NM | NPI Central