Individual
RYAN LAWSON GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
5801 LOWELL ST NE UNIT 11C, ALBUQUERQUE, NM 87111-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2025-0113
NM
Other
Enumeration date
11/07/2025
Last updated
02/09/2026
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