SearchCalifornia124Q00000X

Lisa Grage

NPI 1336432616 · on the registry since 2011 · sole proprietor

Practice

Address
1312 E Vaquero Ct
Chula Vista, CA 91910
Phone
(971) 222-6092

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California