Lars Grant, M.D.

NPI #1104292150 in Urbana, Illinois

Provider Information

NPI Number: 1104292150
Entity Type: Individual
Name: Lars Grant, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 13, 2015
Last Updated: Aug 13, 2015

Practice Location

Address: 1400 W PARK ST
Address 2: EMERGENCY DEPARTMENT
City: Urbana
State: Illinois
ZIP Code: 61801-2334
Phone: (217) 337-2131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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