Individual
MEGAN LORA DUNOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
604 S RIO GRANDE AVE, AZTEC, NM 87410-2260
(505) 334-2664
(505) 259-4403
Mailing address
2577 MAIN AVE, DURANGO, CO 81301-5919
(970) 247-8382
(970) 259-4403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0008548
CO
363A00000X
Physician Assistant
Primary
PA2018-0092
NM
Other
Enumeration date
11/05/2018
Last updated
10/22/2024
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