Individual provider · Type 1 NPI
Lonn J. Grandia, MD
Specialist · Edwardsville, IL
NPI number
1124245410
Active
Practice location
0224 Rendleman Hall
Edwardsville, IL 62026-1055
Mailing address
General Delivery
Hardin, IL 62047-9999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Edwardsville
About NPI 1124245410
Lonn J. Grandia, MD's National Provider Identifier is 1124245410, issued on Apr 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Edwardsville, IL. The record was last updated on Jul 8, 2007.