DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LILLIE GRANTHAM, PA

Active

Physician Assistant · GEORGETOWN, TX

Registration Details

NPI Number
1023818143
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2025 (1.1166585706195 yrs)
Last Updated
Dec 2, 2025
License
PA19201 (TX)

Practice Information

Address
4945 WILLIAMS DR
GEORGETOWN, TX, 786332008
Browse TX providers · Browse ZIP 78633
Phone
5128190500
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GEORGETOWN, TX

Name Credential NPI
MARY JO HART PA-C 1760485932
DORIAN K SHEVITZ PA-C 1780658930
JULIA L. PICKEL P.A. 1972569747
BYRON J. CHONG PA-C 1447206602
RHONDA SUE CAMPBELL PA-C 1245273192
SUSIE L.F. TOWNLEY PA 1629189527
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.