LISA J GRANDON

GRAND RAPIDS, MI
NPI1902537509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703059274)
Additional Taxonomies364SC1501X Clinical Nurse Specialist, Community Health/Public Health
(Licence: MI  4703059274)
Enumeration Date2022-06-23
Last Update Date2022-06-23
Business Address
LISA J GRANDON lpn
1215 FULTON ST E
GRAND RAPIDS, MI 49503-3849
Phone number: 616-742-0351
Mailing Address
LISA J GRANDON lpn
2833 CENTRAL PARK WAY NE APT 204
GRAND RAPIDS, MI 49505-3482
Phone number: