Individual
LISA GRANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4449 MEANDERING WAY, FSU SENIORHEALTH AT WOK, TALLAHASSEE, FL 32308-5740
(850) 645-1543
(850) 645-0577
Mailing address
4449 MEANDERING WAY, TALLAHASSEE, FL 32308-5740
(850) 645-6575
(552) 307-4028
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME56231
FL
Other
Enumeration date
08/31/2006
Last updated
07/06/2022
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