Individual
MRS. LISA L GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6804 KEYSTONE MANOR CT, DISTRICT HEIGHTS, MD 20747-3951
(240) 838-6835
Mailing address
6804 KEYSTONE MANOR CT, DISTRICT HEIGHTS, MD 20747-3951
(240) 838-6835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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