Individual
DR. LISA JOAN GRAVES-AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6800 W CENTRAL AVE STE K, TOLEDO, OH 43617-1135
(419) 841-1510
(419) 841-1513
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 725-6427
(419) 725-6427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.146256
OH
207R00000X
Internal Medicine Physician
L7399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160192401
—
TX
01
—
P00061338
MEDICARE RR
—
Enumeration date
06/02/2006
Last updated
06/06/2024
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