Individual
LISA GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
641 HILLCREST ST, EL SEGUNDO, CA 90245-2961
(310) 650-9722
(424) 254-1383
Mailing address
641 HILLCREST ST, EL SEGUNDO, CA 90245-2961
(310) 650-9722
(424) 254-1383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
827047
CA
163WH0200X
Home Health Registered Nurse
827047
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-163653
CA
163WM0102X
Maternal Newborn Registered Nurse
827047
CA
163WP0200X
Pediatric Registered Nurse
827047
CA
251E00000X
Home Health Agency
L-163653
CA
251J00000X
Nursing Care Agency
827047
CA
253Z00000X
In Home Supportive Care Agency
827047
CA
253Z00000X
In Home Supportive Care Agency
L-163653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
827047
CA BOARD OF REGISTERED NURSING
CA
01
—
L-163653
IBCLE
CA
Enumeration date
01/06/2023
Last updated
01/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us