NPI 1720736788
Lisa Michelle Graham
Practice location
- Address
- 815 N Long St, Shelbyville, IL 62565-1172
- Phone
- (217) 820-9496
- Mailing address
- 1528 E 950 North Rd, Lakewood, IL 62438-4029
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1720736788
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Mar 2022
- Record last updated
- 6 Apr 2022
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.