Individual provider · Type 1 NPI
Alison Lynn Gracom, PA
Medical Physician Assistant · Irvine, CA
NPI number
1245496843
Active
Practice location
4902 Irvine Center Dr Ste 103
Irvine, CA 92604-3334
Fax (949) 861-4178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 010754 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | PA20929 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1245496843
Alison Lynn Gracom, PA's National Provider Identifier is 1245496843, issued on Aug 3, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Irvine, CA. The record was last updated on Feb 7, 2022.