Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisanne Grey

Individual provider Other Technician · NPI 1326590977

Lisanne Grey is an Other Technician in Ontario, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

2940 Inland Empire Blvd
Ontario, CA 91764-4898
Phone: (909) 458-1376
Fax: (909) 944-1059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 850 E Foothill Blvd, Rialto, CA 92376-5230 — (909) 421-9224

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 9795 (CA)
Other Technician Taxonomy 247200000X

Record details

NPI number1326590977
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2016
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing address2940 Inland Empire Blvd, Ontario, CA 91764-4898