Lisa Grady, D.O.

NPI #1518351832 in Providence, Rhode Island

Provider Information

NPI Number: 1518351832
Entity Type: Individual
Name: Lisa Grady, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Mar 25, 2015
Last Updated: Nov 13, 2019

Practice Location

Address: 101 DUDLEY ST
City: Providence
State: Rhode Island
ZIP Code: 02905-2401
Phone: (401) 274-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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