Individual
LAUREN SUE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7800
(650) 934-7843
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
G152577
CA
207P00000X
Emergency Medicine Physician
41768
CO
207P00000X
Emergency Medicine Physician
Primary
G152577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66057337
—
CO
01
—
G152577
STATE MEDICAL LICENSE
CA
Enumeration date
12/19/2005
Last updated
07/10/2024
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