Organization
DR. LAURI B. GRAHAM & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURI GRAHAM O.D. (OPTOMETRIST AND OWNER)
(843) 383-2013
Entity
Organization
Contact information
Practice address
1150 S 4TH ST, HARTSVILLE, SC 29550-0705
(843) 383-2013
Mailing address
1150 S 4TH ST, HARTSVILLE, SC 29550-0705
(843) 383-2013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D13965
—
SC
Enumeration date
05/07/2007
Last updated
12/18/2009
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