Lisa C Gronberg, PA-C

NPI #1215255591 in Mount Juliet, Tennessee

Provider Information

NPI Number: 1215255591
Entity Type: Individual
Name: Lisa C Gronberg, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 11, 2010
Last Updated: Dec 20, 2024

Practice Location

Address: 325 OLD PLEASANT GROVE RD
City: Mount Juliet
State: Tennessee
ZIP Code: 37122-4493
Phone: (629) 255-2134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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