Lori Grisham, MT
Spec/Tech, Pathology, Laboratory Management in Lewisville, TX. Individual provider (NPI-1).
NPI number1528443298
StatusActive
Last updated in NPPESJul 23, 2015
Details
- NPI
- 1528443298
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lori Grisham
- Credential
- MT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2015
- Last updated
- Jul 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246QL0900X | Spec/Tech, Pathology, Laboratory Management | 69721 | OK | Yes |
Practice location
751 Hebron PkwySuite 110
Lewisville, TX 75057-5055
Phone 940-453-1597
Mailing address
109 Oakwood LnHickory Creek, TX 75065-7673
Phone 940-453-1597
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