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 Date2007-07-08
Business Address
-- LISA MARIE GRAVELLE M.D.
333 S 900 E
SALT LAKE CITY, UT 84102-2310
Phone number: 801-535-8163
Mailing Address
-- LISA MARIE GRAVELLE M.D.
333 S 900 E
SALT LAKE CITY, UT 84102-2310
Phone number: 801-535-8163
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