Individual
LISA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
333 W CORK ST UNIT 135, WINCHESTER, VA 22601-3816
(540) 536-5200
Mailing address
333 W CORK ST UNIT 135, WINCHESTER, VA 22601-3816
(540) 536-5200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
37295
WV
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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