Grant, Lisa Joy Enders

Grant, Lisa Joy Enders is an individual health care provider with primary practice located at 2700 Quarry Lake Dr Suite 300, Baltimore MD 21209-2230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Grant, Lisa Joy Enders can be contacted via phone (410) 377-8900.

Contact Information

Primary practice address
2700 Quarry Lake Dr Suite 300 Baltimore MD 21209-2230
Phone: (410) 377-8900
Fax: (410) 377-3156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X D62665 Maryland

Profile Details

NPI number 1487642310
LBN Legal business name Grant, Lisa Joy Enders
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jun 6th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487642310 NPPES
Maryland MEDICAID 408179000

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