Individual provider · Type 1 NPI
Lisa Sarah Grace, GNP
Gerontology Nurse Practitioner · Los Angeles, CA
NPI number
1841589504
Active
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 534610 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 19419 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1841589504
Lisa Sarah Grace, GNP's National Provider Identifier is 1841589504, issued on Apr 4, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 4, 2011.