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NPI Code Detail

MEDICARE: LISA K MCGRAW MD

MEDICARE:   LISA K MCGRAW  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianE1446AR

Other Identifiers

General Provider Information

NPI Number : 1972551901
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA K MCGRAW MD
Provider Business Mailing Address
First Line : PO BOX 689022
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-9022
Country : US
Telephone Number : 615-925-4562
Fax Number : 615-628-6877
Provider Business Practice Location Address
First Line : 209 POINTER TRL W
Second Line :
City : VAN BUREN
State : AR
Zip : 72956-2238
Country : US
Telephone Number : 479-474-3399
Fax Number : 479-474-2338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 08/11/2015

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Directions to “ LISA K MCGRAW MD” Practice Location

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