Grimaldi, Lisa M

Grimaldi, Lisa M is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Grimaldi, Lisa M can be contacted via phone (602) 933-1784.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016
Phone: (602) 933-1784
Fax: (602) 933-1785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X C10012364 Delaware
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 25MA07959500 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 36853 Arizona

Profile Details

NPI number 1447319306
LBN Legal business name Grimaldi, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Oct 30th, 2018 - about 6 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 1447319306 NPPES
New Jersey MEDICAID 0074624
New Jersey MEDICAID 250387785

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