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1306957964
LISA GRANVILLE
TALLAHASSEE, FL
NPI
1306957964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: FL ME56231)
Enumeration Date
2006-08-31
Last Update Date
2022-07-06
Business Address
LISA GRANVILLE MD
4449 MEANDERING WAY FSU SENIORHEALTH AT WOK
TALLAHASSEE, FL 32308-5740
Phone number: 850-645-1543
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Mailing Address
LISA GRANVILLE MD
4449 MEANDERING WAY
TALLAHASSEE, FL 32308-5740
Phone number: 850-645-6575
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