Graves, Lisa D

Graves, Lisa D is an individual health care provider with primary practice located at 2405 Osler Ct , Albany GA 31707-0214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Graves, Lisa D can be contacted via phone (229) 435-1458.

Contact Information

Primary practice address
2405 Osler Ct Albany GA 31707-0214
Phone: (229) 435-1458
Fax: (229) 317-2342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN137513 NP Georgia

Profile Details

NPI number 1063511574
LBN Legal business name Graves, Lisa D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 5th, 2010 - about 14 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 1063511574 NPPES
Georgia MEDICAID 000782779F

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