Individual
MR. LORENZA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 379-4192
Mailing address
11007 HWY # 441 S, MICANOPY, FL 32611
(352) 376-1611
(352) 379-4192
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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