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LISA J GRANDON LPN
NPI 1902537509
Licensed Practical Nurse in Grand Rapids, MI

Active since June 23, 2022
1215 FULTON ST E, GRAND RAPIDS, MI 49503(616) 742-0351(616) 742-0370 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa J Grandon Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA J GRANDON LPN (NPI 1902537509) is an individual licensed practical nurse in Grand Rapids, Michigan, licensed in Michigan (4703059274) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1902537509
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLISA J GRANDONCredential: LPN
Location Address1215 FULTON ST EGrand Rapids, MI 49503-3849
Mailing Address2833 Central Park Way Ne Apt 204Grand Rapids, MI 49505-3482
Phone(616) 742-0351
Fax(616) 742-0370
Sole ProprietorNo
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1902537509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703059274
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedClinical Nurse Specialist · Community Health/Public HealthTaxonomy 364SC1501X · License 4703059274 (MI)
1215 FULTON ST E, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERRY STREET SERVICES, INC.
Family Medicine
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 459-9468
DAVID MITCHELL
Counselor (Addiction (Substance Use Disorder))
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 459-3433
PATRICK RYAN PHILLIPS LPN
Licensed Practical Nurse
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
NICOLE OSIER LLMSW
Social Worker (Clinical)
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
SALVATION ARMY TURNING POINT PROGRAMS
Substance Abuse Rehabilitation Facility
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
MARCIA LYNN MOREEN RN
Registered Nurse
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
MISS LISA MARIE BOOMERS LLPC
Counselor (Addiction (Substance Use Disorder))
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
THOMAS PATRICK HARRISON LPN
Licensed Practical Nurse
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Grandon's NPI number?

The NPI number for Lisa Grandon is 1902537509. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Lisa Grandon located?

Lisa Grandon practices at 1215 Fulton St E, Grand Rapids, MI 49503. The listed phone number is (616) 742-0351.

What is Lisa Grandon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Grandon was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.