Graham, Lisa Ann

Graham, Lisa Ann is an individual health care provider with primary practice located at 1360 N Rim Dr , Flagstaff AZ 86001-3111. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Graham, Lisa Ann can be contacted via phone (928) 774-8000.

Contact Information

Primary practice address
1360 N Rim Dr Flagstaff AZ 86001-3111
Fax: (928) 774-0372
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 51777 Arizona
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 51777 Arizona

Profile Details

NPI number 1386955623
LBN Legal business name Graham, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Jun 18th, 2024 - about 5 months 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 1386955623 NPPES
Arizona MEDICAID 133665

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