Grandison, Lynette R
Grandison, Lynette R is an individual health care provider with primary practice located at 2516 E Whitmore Ave , Ceres CA 95307-2645. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grandison, Lynette R can be contacted via phone (209) 538-1733.Contact Information
Primary practice address
2516 E Whitmore Ave
Ceres CA 95307-2645
Phone: (209) 538-1733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G77970 | California |
Profile Details
| NPI number | 1821048240 |
|---|---|
| LBN Legal business name | Grandison, Lynette R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jun 17th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821048240 | NPPES |
| California | MEDICAID | 00G779700 |
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