Individual
DR. LAWRENCE DALE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21835
SC
174400000X
Specialist
23263
AZ
174400000X
Specialist
ME64789
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21835
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T61858
—
SC
Enumeration date
01/26/2006
Last updated
08/25/2020
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