Grossman, Lisa

Grossman, Lisa is an sole proprietor health care provider with primary practice located at 641 Hillcrest St , El Segundo CA 90245-2961. She recently has 8 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Nursing Service Providers / Maternal Newborn, Nursing Service Providers / Pediatrics, Agencies / Home Health, Agencies / Nursing Care, Agencies / In Home Supportive Care, Nursing Service Providers / Lactation Consultant. Nursing Service Providers / Lactation Consultant is her primary health care specialty. Grossman, Lisa can be contacted via phone (310) 650-9722.

Contact Information

Primary practice address
641 Hillcrest St El Segundo CA 90245-2961
Phone: (310) 650-9722
Fax: (424) 254-1383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 827047 California
Nursing Service Providers / Home Health 163WH0200X 827047 California
Nursing Service Providers / Maternal Newborn 163WM0102X 827047 California
Nursing Service Providers / Pediatrics 163WP0200X 827047 California
Agencies / Home Health 251E00000X L-163653 California
Agencies / Nursing Care 251J00000X 827047 California
Agencies / In Home Supportive Care 253Z00000X L-163653 California
Agencies / In Home Supportive Care 253Z00000X 827047 California
Nursing Service Providers / Lactation Consultant 163WL0100X L-163653 California

Profile Details

NPI number 1669186441
LBN Legal business name Grossman, Lisa
Credentials RN, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2023
Last updated Jan 8th, 2023 - about last year

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 1669186441 NPPES
California Other 827047 CA BOARD OF REGISTERED NURSING
California Other L-163653 CA BOARD OF REGISTERED NURSING

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