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1710014089
LISE GRONDAHL
STANFORD, CA
NPI
1710014089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A51187)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- LISE GRONDAHL MD
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-498-5710
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Mailing Address
-- LISE GRONDAHL MD
2680 HANOVER ST
PALO ALTO, CA 94304-1117
Phone number:
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