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Contact Information

LISA M GRUBB
4940 EASTERN AVE
BALTIMORE, MD21224-2780
 Phone: 410-550-0526
 Fax: 410-550-0100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for LISA M GRUBB · (Female)

NPI # 1427913342
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2025
Last updated 02/20/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MD License # R109114
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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