Individual provider · Type 1 NPI
Laura L. Graham, PA
Medical Physician Assistant · Maumee, OH
NPI number
1023089125
Active
Practice location
235 W Wayne St
Maumee, OH 43537-2124
Fax (419) 893-0026
Mailing address
4235 Secor Rd
Toledo, OH 43623-4231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 0010-00248 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | 50001414RX (OH) |
Medical Physician Assistant: Definition to come...
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About NPI 1023089125
Laura L. Graham, PA's National Provider Identifier is 1023089125, issued on Jan 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Maumee, OH. The record was last updated on Jul 21, 2022.