Individual
DR. LAURI B. GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1206 MOSER DR, THE MARKET COMMON, MYRTLE BEACH, SC 29577-1575
(843) 213-1201
(843) 213-1207
Mailing address
1370 S COMMONS DR, STE 102, MYRTLE BEACH, SC 29588-7740
(843) 213-1201
(843) 213-1201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D13965
—
SC
Enumeration date
12/12/2006
Last updated
08/20/2016
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