Individual provider · Type 1 NPI

Lynn Soares Grismore, NP

Women's Health Nurse Practitioner · Stockton, CA

NPI number 1780790782 Active

Practice location

7373 West Ln, Ob/gyn B
Stockton, CA 95210-3377

Mailing address

7373 West Ln Ste 260
Stockton, CA 95210-3377

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X5362 (CA)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1780790782

Lynn Soares Grismore, NP's National Provider Identifier is 1780790782, issued on Aug 22, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.