LONN J GRANDIA

EDWARDSVILLE, IL
NPI1124245410
Professional NameLONN GRANDIA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: IL  036073884)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Dr. LONN J GRANDIA MD
0224 RENDLEMAN HALL
EDWARDSVILLE, IL 62026-1055
Phone number: 618-650-2842
Mailing Address
Dr. LONN J GRANDIA MD
GENERAL DELIVERY
HARDIN, IL 62047-9999
Phone number:
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