person
Lisa Ann Grubb, PA
Medical Physician Assistant in Christiansburg, Virginia
NPI 1295747202

Lisa Ann Grubb is a Medical Physician Assistant based in Christiansburg, VA and is specialized in Medical. Lisa Ann Grubb practices in Christiansburg, VA and has the professional credentials of PA. The NPI Number for Lisa Ann Grubb is 1295747202 and holds a License No. 0110001151 (Virginia).

The current practice location address for Lisa Ann Grubb is 2900 Lamb Cir, Christiansburg, VA and can be reached out via phone at 540-633-0523 and via fax at 540-633-0526.

Location: 2900 Lamb Cir, Christiansburg, VA, 24073-6344
person
Provider Profile Details
NPI Number
1295747202
Provider Name
Lisa Ann Grubb
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2900 Lamb Cir, Christiansburg, VA, 24073-6344
Phone Number
540-633-0523
Fax Number
540-633-0526
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540506332048 01 VA TRICARE/CHAMPUS
1295747202 01 VA OPTIMA HEALTH PLAN
1295747202 01 VA SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
1295747202 01 VA HUMANA MEDICARE
1295747202 01 VA INTOTAL
1295747202 01 VA MEDICAID QMB
1295747202 01 VA ANTHEM MEDIGAP
1295747202 01 VA AETNA
1295747202 01 VA UMWA
371194700 01 VA BLACK LUNG
P00922434 01 VA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2900 Lamb Cir
City
State
Zip
24073-6344
Phone Number
540-633-0523
Fax Number
540-633-0526
person
Provider Business Mailing Address Details
Address
2900 Lamb Cir
City
State
Zip
24073-6344
Phone Number
540-633-0523
Fax Number
540-633-0526
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110001151 (Virginia)
Definition
Definition to come...
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