Individual
MS. LUCY HART GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-5661
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN194627
MA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
194627
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0707902
—
MA
Enumeration date
07/03/2006
Last updated
10/30/2018
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