DR. GRANT LISETOR DC NPI 1477957371

NPI Information

NPI: 1477957371
Provider Name: DR. GRANT LISETOR, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
624 TYVOLA RD
SUITE 100
CHARLOTTE, NC
ZIP 28217
Phone: (704) 770-8436
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DR. Grant Lisetor, DC is a chiropractor in Charlotte, NC with 10 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Grant Lisetor, DC NPI is 1477957371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

624 TYVOLA RD
SUITE 100
CHARLOTTE, NC
ZIP 28217-578
Phone: (704) 770-8436

The enumeration date for this NPI number is 10/21/2014 and was last updated on 10/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		4490	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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