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Lisa Karen Grimes, PHD
Student in an Organized Health Care Education/Training Program in Culver City, California
NPI 1245526532

Lisa Karen Grimes is a Student in an Organized Health Care Education/Training Program based in Culver City, CA. Lisa Karen Grimes practices in Culver City, CA and has the professional credentials of PHD. The NPI Number for Lisa Karen Grimes is 1245526532 and holds a License No. (California).

The current practice location address for Lisa Karen Grimes is 4760 Sepulveda Blvd, Culver City, CA and can be reached out via phone at 310-390-6612.

Location: 4760 Sepulveda Blvd, Culver City, CA, 90230-4820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245526532
Provider Name
Lisa Karen Grimes
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
4760 Sepulveda Blvd, Culver City, CA, 90230-4820
Phone Number
310-390-6612
Fax Number
Provider Enumeration Date
06/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
person
Provider Business Mailing Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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