Individual
LISA MICHELLE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
610 N WREN DR, LAWRENCE, KS 66049-4694
(785) 766-6447
Mailing address
610 N WREN DR, LAWRENCE, KS 66049-4694
(785) 766-6447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2324
KS
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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