Individual
LISA MYERS GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2780
(410) 550-0526
(410) 550-0100
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
R109114
MD
363LF0000X
Family Nurse Practitioner
Primary
R109114
MD
Other
Enumeration date
12/23/2025
Last updated
02/20/2026
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