NPI 1457529679

Jens F Graversen MD Apm LLC

Organisation Urology Physician Hammond, LA

Practice location

Address: 15770 Paul Vega MD Dr STE 200, Hammond, LA 70403-1475
Phone: (985) 542-1226
Fax: (985) 542-2887

Authorised official

Name: Tammy Harris
Title: Office Manager
Phone: (985) 542-1226

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD200326 (LA)

Other Urology providers in Louisiana →

Registry record

NPI: 1457529679
Entity type: Organization
NPI issued: 11 Feb 2008
Record last updated: 4 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.