Graham, Lyndon M

Graham, Lyndon M is an individual health care provider with primary practice located at 1000 Harrington St , Mount Clemens MI 48043-2920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Graham, Lyndon M can be contacted via phone (586) 493-8747.

Contact Information

Primary practice address
1000 Harrington St Mount Clemens MI 48043-2920
Phone: (586) 493-8747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704084488 Michigan

Profile Details

NPI number 1083661375
LBN Legal business name Graham, Lyndon M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 9th, 2007 - about 17 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 1083661375 NPPES
Michigan MEDICAID 4227406

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