Individual
LISA K MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 POINTER TRL W, VAN BUREN, AR 72956-2238
(479) 474-3399
(479) 474-2338
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 925-4562
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1446
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132968001
—
AR
05
—
200116240A
—
OK
Enumeration date
05/04/2006
Last updated
08/11/2015
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