Lisa Grossman, RN, IBCLC is a
Registered Nurse - Lactation Consultant based in El Segundo, California. Lisa Grossman is licensed to practice in California (license number L-163653) and her current practice location is
641 Hillcrest St, El Segundo, California. She can be reached at her office (for appointments etc.) via phone at
(310) 650-9722.
NPI number for Lisa Grossman is 1669186441 and her current mailing address is 641 Hillcrest St, El Segundo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669186441.
Provider's Profile
Full Name | Lisa Grossman |
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Gender | Female |
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Speciality | Registered Nurse - Lactation Consultant |
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Location | 641 Hillcrest St, El Segundo, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669186441
- Provider Enumeration Date: 01/06/2023
- Last Update Date: 01/08/2023
Medical Identifiers
Medical identifiers for Lisa Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669186441 | NPI | - | NPPES |
827047 | Other | CA | CA BOARD OF REGISTERED NURSING |
L-163653 | Other | CA | IBCLE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 827047 (California) | Secondary |
163WH0200X | Registered Nurse - Home Health | 827047 (California) | Secondary |
163WM0102X | Registered Nurse - Maternal Newborn | 827047 (California) | Secondary |
163WP0200X | Registered Nurse - Pediatrics | 827047 (California) | Secondary |
251E00000X | Home Health | L-163653 (California) | Secondary |
251J00000X | Nursing Care | 827047 (California) | Secondary |
253Z00000X | In Home Supportive Care | L-163653 (California) | Secondary |
253Z00000X | In Home Supportive Care | 827047 (California) | Secondary |
163WL0100X | Registered Nurse - Lactation Consultant | L-163653 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Grossman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Grossman, RN, IBCLC 641 Hillcrest St, El Segundo, CA 90245-2961 Ph: (310) 650-9722 | Lisa Grossman, RN, IBCLC 641 Hillcrest St, El Segundo, CA 90245-2961 Ph: (310) 650-9722 |
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