Individual
LISA M GRIMALDI
Active
Individual
LISA M GRIMALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
25MA07959500
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
36853
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
C10012364
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074624
—
NJ
05
—
250387785
—
DE
Enumeration date
12/07/2006
Last updated
10/30/2018
Update your record
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