Individual provider · Type 1 NPI

Laketta Graham

Licensed Practical Nurse · Detroit, MI

NPI number 1821482092 Active

Practice location

2294 Chicago Blvd
Detroit, MI 48206-1739

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703114735 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1821482092

Laketta Graham's National Provider Identifier is 1821482092, issued on Mar 25, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Mar 25, 2015.