Laura Louise Graham, LPN
Individual provider Active NPI Licensed Practical Nurse · Winchester, OH
NPI 1134519705 · NPPES record last updated Feb 3, 2015
Key facts
- NPI
- 1134519705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 132037 (OH)
- Practice address
- 11557 US Highway 62
Winchester, OH 45697-9690 - Phone
- (937) 695-0959
- Fax
- (937) 695-0303
- NPI assigned
- Feb 3, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132037 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 132037 | OH | Yes |
Addresses
Primary practice location
11557 US Highway 62
Winchester, OH 45697-9690
Mailing address
11557 US Highway 62
Winchester, OH 45697-9690
Phone (937) 695-0959
Other providers in Winchester, OH
- Kasey Jo Fraley-Thompson
- Mafalda White French
- Valerie Gifford
- Cathy Lou Glorius
- Shaun Gould
- Bryan D Grooms
- Tella Halcomb
- Fonda Sherrie Harris
- Tammy Hawthorn
- Jennifer Hickerson
All providers in Winchester, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.