SearchPennsylvania103K00000X

Lance Grant

NPI 1366392391 · on the registry since 2026

Practice

Address
6004 Master St
Philadelphia, PA 19151
Phone
(267) 295-2234

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-02

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 Pennsylvania