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Lydia T Grant, FNP
Family Nurse Practitioner in Livingston, California
NPI 1740457761

Lydia T Grant is a Family Nurse Practitioner based in Livingston, CA and is specialized in Family. Lydia T Grant practices in Livingston, CA and has the professional credentials of FNP. The NPI Number for Lydia T Grant is 1740457761 and holds a License No. 8657 (California).

The current practice location address for Lydia T Grant is 1140 Main St, Livingston, CA and can be reached out via phone at 209-394-7075.

Location: 1140 Main St, Livingston, CA, 95334-1257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740457761
Provider Name
Lydia T Grant
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1140 Main St, Livingston, CA, 95334-1257
Phone Number
209-394-7075
Fax Number
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8657 01 CA FNP NUMBER
institution
Provider Business Practice Location Address Details
Address
1140 Main St
City
Livingston
State
California
Zip
95334-1257
Phone Number
209-394-7075
Fax Number
person
Provider Business Mailing Address Details
Address
1140 Main St
City
Livingston
State
California
Zip
95334-1257
Phone Number
209-394-7075
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
8657 (California)
Definition
Definition to come...
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