MRS. Lisa Janelle Grant, PA-C

NPI #1285717736 in South Weymouth, Massachusetts

Provider Information

NPI Number
1285717736
Entity Type
Individual
Name
MRS. Lisa Janelle Grant, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 20, 2006
Last Updated
Jun 1, 2011

Practice Location

Address
55 FOGG RD
Address 2
SOUTH SHORE HOSPITAL EMERGENCY DEPARTMENT
ZIP Code
02190-2432
Phone
(781) 340-3627

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical
Physician Assistant

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