LISA MARIE GRAVELLE

SALT LAKE CITY, UT
NPI1821028820
Professional NameLISA M. GRAVELLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: UT  5640031-1205)
Enumeration Date2006-07-04
Last Update Date2025-09-24
Business Address
LISA MARIE GRAVELLE M.D.
5063 S COTTONWOOD ST
SALT LAKE CITY, UT 84107-6766
Phone number: 801-507-1800
Mailing Address
LISA MARIE GRAVELLE M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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