Individual
LISA M GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
209.013706
IL
367A00000X
Advanced Practice Midwife
Primary
209.013705
IL
Other
Enumeration date
12/30/2015
Last updated
09/19/2022
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