Individual
LLOYD PERCELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2130 FARMINGTON AVE, FARMINGTON, NM 87401-2123
(505) 325-2323
Mailing address
4900 SANDALWOOD DR, FARMINGTON, NM 87402-4800
(505) 326-4361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2000-PA19
NM
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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