Individual
LURIE SHAVON GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
964 HIGH HOUSE RD, CARY, NC 27513-3574
(919) 561-6970
Mailing address
964 HIGH HOUSE RD, CARY, NC 27513-3574
(919) 561-6970
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
6660
NC
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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