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Individual

MRS. LISA ROCHELLE GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, CDE

Contact information

Practice address
279 W CROGAN ST, LAWRENCEVILLE, GA 30046-6914
(404) 396-4417
Mailing address
2250 OAK RD UNIT 1541, SNELLVILLE, GA 30078-1914
(404) 396-4417

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
RN135816
GA

Other

Enumeration date
07/13/2006
Last updated
01/02/2020
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