Individual
LIZEL ANN GRANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10256 OLD GREEN BAY RD FL 3, PLEASANT PRAIRIE, WI 53158-2814
(262) 551-4160
(262) 551-4165
Mailing address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15297
WI
363LF0000X
Family Nurse Practitioner
209.009631
IL
Other
Enumeration date
12/19/2012
Last updated
05/08/2026
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