Individual
DR. LISA M GABRISH GRABOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1495 POPE CT, CHESTERTON, IN 46304-5301
(219) 926-1068
(219) 929-1944
Mailing address
1495 POPE CT, CHESTERTON, IN 46304-5301
(219) 926-1068
(219) 929-1944
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12008971
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209830
—
IN
01
—
749490
UNITED CONCORDIA INS. CO.
—
Enumeration date
05/11/2006
Last updated
07/21/2022
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