NPI 1902968027 · live from the CMS NPI Registry
Lisa Hope Grant, DDS,MS
Dentist, Orthodontics and Dentofacial Orthopedics in Flossmoor, IL. National Provider Identifier 1902968027, active.
NPI record
| NPI | 1902968027 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1032 Sterling Ave, Flossmoor, IL 60422 |
| Practice phone | 708-799-3030 |
| Mailing address | 1809 Redwood Ln, Munster, IN 46321 |
| Enumerated | December 14, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 019.022759 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.