Active NPIIndividual provider

Mrs. Lisa J Grant, PA-C

Physician Assistant in South Weymouth, Massachusetts

NPI Number1285717736
Practice location
55 Fogg RD, South Shore Hospital Emergency Department, South Weymouth, MA 02190-2432
Fax
—
Last updated
June 1, 2011

Lisa Janelle Grant is a Physician Assistant based in South Weymouth, MA. Lisa Janelle Grant practices in South Weymouth, MA and has the professional credentials of PA-C. The NPI Number for Lisa Janelle Grant is 1285717736 and holds a License No. 2234 (MA). The current practice location address for Lisa Janelle Grant is 55 Fogg RD, South Shore Hospital Emergency Department, South Weymouth, MA 02190-2432 and can be reached out via phone at 781-340-3627.

Provider Profile Details

NPI Number
1285717736
Provider Name
Lisa Janelle Grant
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
55 Fogg RD, South Shore Hospital Emergency Department, South Weymouth, MA 02190-2432
Phone Number
781-340-3627
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2006
Last Update Date
June 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
South Shore Hospital Emergency Department
South Weymouth, MA 02190-2432
Zip
02190-2432
Phone Number
781-340-3627
South Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
43 Heritage Hl
Dedham, MA 02026-6206
City
Dedham
State
MA
Zip
02026-6206
Phone Number
617-999-7093

License Information

License Number (1)
2234
License State (1)
MA
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
2234
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Lisa J Grant, PA-C?

The NPI number of Mrs. Lisa J Grant, PA-C is 1285717736. It was assigned on October 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisa J Grant, PA-C?

Mrs. Lisa J Grant, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 2234.

Where does Mrs. Lisa J Grant, PA-C practice?

The practice location is 55 Fogg RD, South Shore Hospital Emergency Department, South Weymouth, MA 02190-2432. The office can be reached at 781-340-3627 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285717736 directly on the NPPES registry website.

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