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Individual

DR. PATRICIA MCINNIS GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
INFIRMARY ROAD STUDENT HEALTH CTR, LSU, BATON ROUGE, LA 70803-2401
(225) 578-8774
(225) 578-1147
Mailing address
4531 LAKE POINT AVE, BATON ROUGE, LA 70817-1825
(225) 753-4444
(225) 578-1147

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10247
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
93306
LA
Enumeration date
03/16/2007
Last updated
07/09/2007
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