Individual
LANCE A GRAMMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 830-6877
(920) 454-7013
Mailing address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 830-6877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49656
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37582500
—
WI
Enumeration date
06/01/2006
Last updated
12/21/2022
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