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1215255591
LISA C GRONBERG
HERMITAGE, TN
NPI
1215255591
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Former Name
LISA PIPPEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 1793)
Enumeration Date
2010-05-11
Last Update Date
2017-10-23
Business Address
LISA C GRONBERG PA-C
5653 FRIST BLVD SUITE 630
HERMITAGE, TN 37076-2062
Phone number: 629-255-2134
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Mailing Address
LISA C GRONBERG PA-C
222 22ND AVE N
NASHVILLE, TN 37203-1852
Phone number: 629-255-3486
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