Individual
LAURA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 N MAIN ST STE D, CROWN POINT, IN 46307-3281
(219) 663-4877
(219) 663-4877
Mailing address
300 N MAIN ST STE D, CROWN POINT, IN 46307-3281
(219) 663-4877
(219) 663-4877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005996A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71005996A
APN LICENSE
IN
Enumeration date
12/29/2015
Last updated
07/04/2021
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