Lisa Ellen Graham, MSTOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2651 Issued in FL

Practice address

6301 Sunset Dr
Suite 201
South Miami, FL 33143-4818

Phone

(305) 669-2715

NPI assigned

Jun 20, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245456000000",
    "number": "1750518460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 CARILLO ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462060",
            "telephone_number": "305-740-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 SUNSET DR",
            "address_2": "SUITE 201",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434818",
            "telephone_number": "305-669-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LISA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MSTOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-20",
        "last_updated": "2009-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE PHYSICIAN LICENSE",
            "identifier": "AP2651",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Gottlieb, ARNP
• Nicole L Gottlieb, APRN-C
• Akshay Goyal, M.D.
• Itai Gozlan, M.D.
• Mary Mackenzie Grady
• Michael Fred Graham, MD
• Morgan Graham, LCSW
• Sasha Granadillo, APRN, FNP-BC
• Kemoria Queenadel Granberry, D.O.
• Cecilia Grande, M.D.

• Acupuncturist in South Miami, FL
• Providers in South Miami, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.