Organization
GRAFTON DERMATOLOGY AND COSMETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE HOYE GRAFTON MD (CEO)
(985) 876-5000
Entity
Organization
Contact information
Practice address
327 BAYOU GARDENS BLVD, HOUMA, LA 70364-1434
(985) 876-5000
(985) 876-5280
Mailing address
327 BAYOU GARDENS BLVD, HOUMA, LA 70364-1434
(985) 876-5000
(985) 876-5280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
022623
LA
174400000X
Specialist
023735
LA
174400000X
Specialist
A10451
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441953
—
LA
01
—
435061414A
BLUE CROSS
LA
01
—
4359897160
B;UE CROSS DR. CHARBONNET
LA
Enumeration date
10/12/2006
Last updated
02/20/2014
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