Lyndon M Graham CRNA

NPI 1083661375 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1083661375
Gender Female
Enumeration Date 05/30/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 HARRINGTON ST
MOUNT CLEMENS MI, 48043-2920, US
Phone (586) 493-8747
Fax
Business Location
1000 HARRINGTON ST
MOUNT CLEMENS MI, 48043-2920, US
Phone (586) 493-8747
Fax
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704084488
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According to our database, Lyndon M Graham CRNA NPI is 1083661375, taxonomy code is 367500000X and license number is 4704084488, license state is located at Michigan. Lyndon M Graham CRNA physically located at 1000 Harrington St, Mount Clemens MI, 48043-2920. NPI Number Lyndon M Graham CRNA has the Individual type.

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1083661375 NPI number is provided on an as is basis without warranty of any kind. 1083661375 is maintained by the National Plan & Provider Enumeration System. The contents of Lyndon M Graham CRNA are for informational purposes only.