Grant, Lisa Janelle

Grant, Lisa Janelle is an individual health care provider with primary practice located at 55 Fogg Rd South Shore Hospital Emergency Department, South Weymouth MA 02190-2432. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Grant, Lisa Janelle can be contacted via phone (781) 340-3627.

Contact Information

Primary practice address
55 Fogg Rd South Shore Hospital Emergency Department South Weymouth MA 02190-2432
Phone: (781) 340-3627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2234 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2234 Massachusetts

Profile Details

NPI number 1285717736
LBN Legal business name Grant, Lisa Janelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jun 1st, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285717736 NPPES
Massachusetts Other 1074133 PA-C LICENSE

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