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Gary Grimm
Family Nurse Practitioner in Lebanon, Pennsylvania
NPI 1386293249

Gary Grimm is a Family Nurse Practitioner based in Lebanon, PA and is specialized in Family. Gary Grimm practices in Lebanon, PA. The NPI Number for Gary Grimm is 1386293249 and holds a License No. SP020636 (Pennsylvania).

The current practice location address for Gary Grimm is 1700 S Lincoln Ave, Lebanon, PA and can be reached out via phone at 717-272-6621.

Location: 1700 S Lincoln Ave, Lebanon, PA, 17042-7529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386293249
Provider Name
Gary Grimm
Credential
Provider Entity Type
Individual
Gender
Male
Address
1700 S Lincoln Ave, Lebanon, PA, 17042-7529
Phone Number
717-272-6621
Fax Number
Provider Enumeration Date
09/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1700 S Lincoln Ave
City
Lebanon
State
Pennsylvania
Zip
17042-7529
Phone Number
717-272-6621
Fax Number
person
Provider Business Mailing Address Details
Address
1700 S Lincoln Ave
City
Lebanon
State
Pennsylvania
Zip
17042-7529
Phone Number
717-272-6621
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP020636 (Pennsylvania)
Definition
Definition to come...
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