Grant K Lisetor


Address: 624 Tyvola Rd, Suite 100, Charlotte, NC 28217-3585

Grant K Lisetor (NPI# 1477957371, PAC ID# 9739406265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1477957371
PAC ID by PECOS 9739406265
Professional Enrollment ID I20150323000843
Full Name Grant K Lisetor
Address 624 Tyvola Rd
Suite 100
Charlotte
NC 28217-3585
Gender M
Graduation Year 2014
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
624 Tyvola Rd, Suite 100, Charlotte, NC 28217-3585

Organization Information

Office Location

Street Address 624 TYVOLA RD
SUITE 100
City CHARLOTTE
State NC
Zip 28217-3585

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Martha Barbu Nurse Practitioner Dynamic Health Medical Group Pllc 4705 S Blvd, Charlotte, NC 28217-2117
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Alisa L Walker Nurse Practitioner Dynamic Health Medical Group Pllc 4705 S Blvd, Charlotte, NC 28217-2117
James W Altizer Peripheral Vascular Disease Dynamic Health and Pain Management, Pllc 4707 S Blvd, Charlotte, NC 28217-2117
Allyson A Robinson Clinical Social Worker Pinnacle Point Supportive Services, LLC 415 Minuet Ln, Suite G, Charlotte, NC 28217-2701
Jessica E Marge Clinical Social Worker 1511 Shopton Rd C, Charlotte, NC 28217-3240
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Competitor

Search similar physicians

City CHARLOTTE
Zip Code 28217
Specialty CHIROPRACTIC
City + Specialty CHARLOTTE + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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