Granville, Lisa

Granville, Lisa is an individual health care provider with primary practice located at 4449 Meandering Way Fsu Seniorhealth At Wok, Tallahassee FL 32308-5740. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Granville, Lisa can be contacted via phone (850) 645-1543.

Contact Information

Primary practice address
4449 Meandering Way Fsu Seniorhealth At Wok Tallahassee FL 32308-5740
Phone: (850) 645-1543
Fax: (850) 645-0577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME56231 Florida

Profile Details

NPI number 1306957964
LBN Legal business name Granville, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 6th, 2022 - about 3 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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