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1811393655

NPI Code Detail

MEDICARE: LORI GRANT CNM, WHNP-BC

MEDICARE: LORI GRANT CNM, WHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	AP61304805	WA
2	363LW0102X	Women's Health Nurse Practitioner	9340	MN
3	363LW0102X	Women's Health Nurse Practitioner	C-APN.0002691-C-NP	CO
4	363LW0102X	Women's Health Nurse Practitioner	114069	NE
5	363LW0102X	Women's Health Nurse Practitioner	192748	MT
6	363LW0102X	Women's Health Nurse Practitioner	1056976	TX
7	363LW0102X	Women's Health Nurse Practitioner	0024182593	VA
8	363LW0102X	Women's Health Nurse Practitioner	53-81208-051	KS
9	363LW0102X	Women's Health Nurse Practitioner	95026674	CA
10	363LW0102X	Women's Health Nurse Practitioner	13428-33	WI
11	363LW0102X	Women's Health Nurse Practitioner	CP002700	SD
12	363LW0102X	Women's Health Nurse Practitioner	4704395700	MI
13	363LW0102X	Women's Health Nurse Practitioner	3708-0	HI
14	363LW0102X	Women's Health Nurse Practitioner	196726	AK
15	363LW0102X	Women's Health Nurse Practitioner	AP7447	AZ

General Provider Information

NPI Number	:	1811393655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI GRANT CNM, WHNP-BC

Provider Business Mailing Address
First Line	:	643 CARLTON ST
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86409-6964
Country	:	US
Telephone Number	:	928-727-0644
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 S FIGUEROA ST FL 31
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90071-1602
Country	:	US
Telephone Number	:	888-731-8994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2014
Last Update Date	:	05/05/2025

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Directions to “ LORI GRANT CNM, WHNP-BC” Practice Location

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