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Lisa Grant, DC

NPI 1962654160 · on the registry since 2008 · sole proprietor

Practice

Address
290 W. Kelly St.
Jackson, WY 83001
Phone
(307) 739-0553

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming