Individual
MS. DIANA ELIZABETH LOPEZ-GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6160 OLD BEATTIE RD, LOCKPORT, NY 14094-9504
(716) 864-5299
Mailing address
6160 OLD BEATTIE RD, LOCKPORT, NY 14094-9504
(716) 864-5299
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
562456
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562456
RN LICENSE
NY
Enumeration date
03/20/2012
Last updated
03/20/2012
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