Individual
LAUREN V GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6040
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1016295
MA
2085R0202X
Diagnostic Radiology Physician
MD480855
PA
Other
Enumeration date
03/27/2018
Last updated
05/29/2024
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