Individual
LISA GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2932 N HIGHWAY 25 W, WILLIAMSBURG, KY 40769-8633
(606) 515-6051
Mailing address
PO BOX 1535, BARBOURVILLE, KY 40906-5535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4023229
KY
Other
Enumeration date
06/19/2024
Last updated
07/01/2024
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