Individual
LACEY N GRAFFAGNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
9325 PHELAN BLVD, BEAUMONT, TX 77706-5122
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
149840
TX
246ZC0007X
Surgical Assistant
210590
GA
246ZC0007X
Surgical Assistant
Primary
SA00911
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2013
Last updated
01/05/2023
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