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Lavern Grandison
NPI 1619340825 · on the registry since 2015
Practice
- Address
- 24 Jackson Ave
Elmont, NY 11003 - Phone
- (516) 424-9388
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-11-10
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 New York