Individual
LYNN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 N GOLIAD ST STE 102, ROCKWALL, TX 75087-7008
(469) 897-5040
Mailing address
3090 N GOLIAD ST, SUITE 102-PMB 817, ROCKWALL, TX 75087
(469) 897-5040
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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