Individual provider · Type 1 NPI

Lucas Graham

Student in an Organized Health Care Education/Training Program · Riverside, CA

NPI number 1770088809 Active

Practice location

3532 Monroe St
Riverside, CA 92504-6322

Call (951) 687-4610 Map

Mailing address

1461 Laurelwood Cir
Corona, CA 92882-8723

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770088809

Lucas Graham's National Provider Identifier is 1770088809, issued on Mar 29, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Mar 29, 2018.