Graves, James Lowell

Graves, James Lowell is an individual health care provider with primary practice located at 3401 W Gore Blvd , Lawton OK 73505-6332. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Graves, James Lowell can be contacted via phone (580) 355-8620.

Contact Information

Primary practice address
3401 W Gore Blvd Lawton OK 73505-6332
Phone: (580) 355-8620
Fax: (580) 357-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0039900 Oklahoma

Profile Details

NPI number 1922091677
LBN Legal business name Graves, James Lowell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Apr 28th, 2008 - about 16 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 1922091677 NPPES
Oklahoma MEDICAID 100781970A

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