Grafton, Warren Donovan

Grafton, Warren Donovan is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Pathology, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Grafton, Warren Donovan can be contacted via phone (318) 675-7737.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Pathology Shreveport LA 71103-4228
Phone: (318) 675-7737
Fax: (318) 675-5666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 009187 Louisiana

Profile Details

NPI number 1063430288
LBN Legal business name Grafton, Warren Donovan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063430288 NPPES
Louisiana MEDICAID 1169331

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