Graham, Lisa Ellen

Graham, Lisa Ellen is an sole proprietor health care provider with primary practice located at 6301 Sunset Dr Suite 201, South Miami FL 33143-4818. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Graham, Lisa Ellen can be contacted via phone (305) 669-2715.

Contact Information

Primary practice address
6301 Sunset Dr Suite 201 South Miami FL 33143-4818
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP2651 Florida

Profile Details

NPI number 1750518460
LBN Legal business name Graham, Lisa Ellen
Credentials MSTOM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2009
Last updated Jun 20th, 2009 - about 15 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 1750518460 NPPES
Florida Other AP2651 ACUPUNCTURE PHYSICIAN LICENSE

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