Lillie Grantham, PA
NPI #1023818143 in Georgetown, Texas
Provider Information
- NPI Number
- 1023818143
- Entity Type
- Individual
- Name
- Lillie Grantham, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Mar 17, 2025
- Last Updated
- Dec 2, 2025
Practice Location
- Address
- 4945 WILLIAMS DR
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78633-2008
- Phone
- (512) 819-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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