Individual
DR. LISA R. GRYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11661 PRESTON RD, SUITE 120, DALLAS, TX 75230-2745
(214) 363-7242
Mailing address
3237 LANCELOT DR, DALLAS, TX 75229-5017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M9239
TX
Other
Enumeration date
11/16/2007
Last updated
07/13/2011
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