Grandon, Lisa J

Grandon, Lisa J is an individual health care provider with primary practice located at 1215 Fulton St E , Grand Rapids MI 49503-3849. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Grandon, Lisa J can be contacted via phone (616) 742-0351.

Contact Information

Primary practice address
1215 Fulton St E Grand Rapids MI 49503-3849
Phone: (616) 742-0351
Fax: (616) 742-0370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health 364SC1501X 4703059274 Michigan
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703059274 Michigan

Profile Details

NPI number 1902537509
LBN Legal business name Grandon, Lisa J
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2022
Last updated Jun 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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