LILLIE GRANTHAM

GEORGETOWN, TX
NPI1023818143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA19201)
Enumeration Date2025-03-17
Last Update Date2025-12-02
Business Address
LILLIE GRANTHAM PA
4945 WILLIAMS DR
GEORGETOWN, TX 78633-2008
Phone number: 512-819-0500
Mailing Address
LILLIE GRANTHAM PA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 800-994-0371
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