Individual
LIA GRANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
610 PURDUE MALL, WEST LAFAYETTE, IN 47907-2040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP70053934
WA
Other
Enumeration date
09/26/2024
Last updated
10/14/2025
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