LISA GROSSMAN, RN, IBCLC, Lactation Consultant EL SEGUNDO, CA

Contact Information

LISA GROSSMAN, RN, IBCLC

641 HILLCREST ST
EL SEGUNDO, CA 90245-2961

Phone: 310-650-9722
Fax: 424-254-1383
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Lactation Consultant	163WL0100X
Home Health	163WH0200X
Home Health	251E00000X	A4[11]	Home Health Agency
In Home Supportive Care	253Z00000X
Maternal Newborn	163WM0102X
Nursing Care	251J00000X
Pediatrics	163WP0200X
Registered Nurse	163W00000X

Indicates primary specialty

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NPI Profile & details for LISA GROSSMAN · (Female)

NPI Number	`1669186441`
Status	Active
Credentials	RN, IBCLC
Entity	Individual
Enumeration date	01/06/2023
Last updated	01/08/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	CA License # 827047 CA License # L-163653 CA Other 827047 CA BOARD OF REGISTERED NURSING CA Other L-163653 IBCLE
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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