Individual
JAMES LOWELL GRAVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
(580) 357-3277
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 355-8620
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0039900
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100781970A
—
OK
Enumeration date
08/29/2005
Last updated
04/28/2008
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