Lacy Jo Graham, APRN-C Valid NPI
Individual provider · Family Nurse Practitioner · Duarte, CA
- NPI
- 1225439391
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 95010753 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-09-09
- Last updated
- 2020-12-15
Practice location
1500 E. Duarte Road
Duarte, CA 91010
(626) 256-4673