Individual provider · Type 1 NPI

Grant Lisetor, DC

Chiropractor · Charlotte, NC

NPI number 1477957371 Active

Practice location

624 Tyvola Rd, Suite 100
Charlotte, NC 28217-3578

Call (704) 770-8436 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4490 (NC)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1477957371

Grant Lisetor, DC's National Provider Identifier is 1477957371, issued on Oct 21, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 21, 2014.