Grant, Lori A

Grant, Lori A is an individual health care provider with primary practice located at 719 Rodel Cv Ste 2001 , Lake Mary FL 32746-5716. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Grant, Lori A can be contacted via phone (407) 878-4720.

Contact Information

Primary practice address
719 Rodel Cv Ste 2001 Lake Mary FL 32746-5716
Phone: (407) 878-4720
Fax: (407) 878-4732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3334 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3334 Florida

Profile Details

NPI number 1316188311
LBN Legal business name Grant, Lori A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2009
Last updated May 22nd, 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 1316188311 NPPES
Florida MEDICAID 001457300
Florida Other 6500S

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