Individual
LISA M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
834 PROSPECT PL, MADISON, WI 53703-1568
(608) 358-2192
Mailing address
834 PROSPECT PL, MADISON, WI 53703-1568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44366
WI
Other
Enumeration date
03/20/2006
Last updated
01/06/2026
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