Grant-Dougherty, Carol Luisa

Grant-Dougherty, Carol Luisa is an individual health care provider with primary practice located at 43839 15Th St W , Lancaster CA 93534-4756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grant-Dougherty, Carol Luisa can be contacted via phone (661) 945-5984.

Contact Information

Primary practice address
43839 15Th St W Lancaster CA 93534-4756
Phone: (661) 945-5984
Fax: (661) 951-3357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA11959 California

Profile Details

NPI number 1114037579
LBN Legal business name Grant-Dougherty, Carol Luisa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 5th, 2008 - 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.

Request for update

Popular Providers