NPI 1417223868

Lisa a Grinnell, MFTITERN

Practitioner Exclusive Provider Organization Las Vegas, NV

Practice location

Address: 499 Sierra Vista Dr #33, Las Vegas, NV 89169-2765
Phone: (702) 708-6901

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Nevada →

Registry record

NPI: 1417223868
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2012
Record last updated: 30 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.