Organization
GRAFTON DERMATOLOGY
Active
Other names
LEE H GRAFTON MD
Organization subpart
No
Provider details
NPI number
Authorized official
ANN BOURGEOIS (OFF MGR)
(978) 876-5000
Entity
Organization
Contact information
Practice address
327 BAYOU GARDENS BLVD, HOUMA, LA 70364-1434
(985) 876-5000
(985) 876-5280
Mailing address
327 BAYOU GARDENS BLVD, HOUMA, LA 70364-1434
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
022623
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441953
—
LA
05
—
1484768
—
LA
05
—
1687421
—
LA
01
—
1932400
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/27/2006
Last updated
08/22/2020
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