David Ray Graham LMP

NPI 1134450968 - Specialist - 174400000X

NPI Details
NPI 1134450968
Gender Male
Enumeration Date 01/18/2010
Last Updated 01/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6501 MOTOR AVE SW
LAKEWOOD WA, 98499-1579, US
Phone (253) 588-3410
Fax
Business Location
6501 MOTOR AVE SW
LAKEWOOD WA, 98499-1579, US
Phone (253) 588-3410
Fax
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MA60065390
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According to our database, David Ray Graham LMP NPI is 1134450968, taxonomy code is 174400000X and license number is MA60065390, license state is located at Washington. David Ray Graham LMP physically located at 6501 Motor Ave Sw, Lakewood WA, 98499-1579. NPI Number David Ray Graham LMP has the Individual type.

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1134450968 NPI number is provided on an as is basis without warranty of any kind. 1134450968 is maintained by the National Plan & Provider Enumeration System. The contents of David Ray Graham LMP are for informational purposes only.