Individual provider · Type 1 NPI

Lacey Starr Graham, CRNP

Family Nurse Practitioner · Dora, AL

NPI number 1124612510 Active

Practice location

2391 Highway 78
Dora, AL 35062-5233

Call (205) 255-7052 Map

Mailing address

5411 Camellia Ln
Trussville, AL 35173-6322

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-153271 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1124612510

Lacey Starr Graham, CRNP's National Provider Identifier is 1124612510, issued on Feb 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dora, AL. The record was last updated on Feb 25, 2021.