Lisa D Grunebaum
Surgeon Plastic Surgeon (Head & Neck)
1666 Nw 10th Ave Box 016960 M851
Miami
, Florida 33136-1015
Lisa D Grunebaum
Surgeon Plastic Surgeon (Head & Neck)
1666 Nw 10th Ave Box 016960 M851
Miami
, Florida 33136-1015
(480) 301-8000
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
- Surgeon
Languages spoken
- English
Location
First Address
- Lisa D Grunebaum
- 13400 E Shea Blvd
- Scottsdale, AZ
- Zip : 85259-5452
- Phone : (480) 301-8000
Second Address
- Lisa D Grunebaum
- 1666 Nw 10th Ave Box 016960 M851
- Miami, FL
- Zip : 33136-1015
- Fax : (305) 243-8470
- Phone : (305) 243-7688
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FAQs
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Is Lisa D Grunebaum a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | ME95654 | FL |
| Y | 208200000X | Surgeon | 64651 | AZ |
| Y | 208600000X | Surgeon | 64651 | AZ |
National Provider Identifier
| NPI | 1003863093 |
|---|---|
| Provider Name | Lisa D Grunebaum |
| First Address | Scottsdale, AZ 85259-5452 |
| Second Address | Miami, FL 33136-1015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2006 |
| Last Update Date | 24/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.