Individual provider · Type 1 NPI

Lacy Jo Graham, APRN-C

Family Nurse Practitioner · Duarte, CA

NPI number 1225439391 Active

Practice location

1500 E. Duarte Road
Duarte, CA 91010

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X76537 (KS)
Family Nurse Practitioner 363LF0000X113746 (OK)
Family Nurse Practitioner Primary 363LF0000X95010753 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1225439391

Lacy Jo Graham, APRN-C's National Provider Identifier is 1225439391, issued on Sep 9, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Duarte, CA. The record was last updated on Dec 15, 2020.