Individual
DR. L V GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
401 29TH ST, STE 202, OAKLAND, CA 94609-3581
(510) 272-9588
(510) 272-9693
Mailing address
401 29TH ST, STE 202, OAKLAND, CA 94609-3581
(510) 272-9588
(510) 272-9693
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E14530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E145230
—
CA
Enumeration date
07/21/2006
Last updated
07/08/2007
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