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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA ELIZABETH GRAHAM

Active

LISA ELIZABETH GRAHAM is a Independent Duty Medical Technician healthcare provider located in GRAND RAPIDS, Michigan. NPI 1912886045 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · GRAND RAPIDS, MI

Registration Details

NPI Number
1912886045
Provider Type
Individual
Gender
Female
NPI Issued
Sep 2, 2025 (0.98742444890281 yrs)
Last Updated
Sep 2, 2025

Practice Information

Address
4218 BURTON ST SE
GRAND RAPIDS, MI, 495466121
Browse MI providers · Browse ZIP 49546
Phone
6163018000
Primary Specialty
Independent Duty Medical Technician
1710I1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.