Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 261722 | NY |
Y | 207VE0102X | Reproductive Endocrinologist | A162962 | CA |
NPI | 1306089057 |
---|---|
Provider Name | Lisa Carey Grossman Becht |
First Address | Newport Beach, CA 92663-3662 |
Second Address | Newport Beach, CA 92663-3662 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2009 |
Last Update Date | 11/07/2019 |