LYNDON M GRAHAM CRNA
NPI 1083661375
Nurse Anesthetist, Certified Registered in Mount Clemens, MI

Q: What is Lyndon Graham's NPI number?

The NPI number for Lyndon Graham is 1083661375. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Lyndon Graham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Lyndon Graham was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2006

1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8747 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lyndon M Graham Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNDON M GRAHAM CRNA (NPI 1083661375) is an individual nurse anesthetist, certified registered in Mount Clemens, Michigan, licensed in Michigan (4704084488) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1083661375

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLYNDON M GRAHAMCredential: CRNA

Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920

Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 493-8747

Phone(586) 493-8747

Sole ProprietorNo

Enumeration DateMay 30, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1083661375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704084488

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1000 HARRINGTON ST, Mount Clemens, MI 48043

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Other Identifiers 2

Medicare PINM77150024MI

Medicaid4227406MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEMAR GARDEZI MD

Student in an Organized Health Care Education/Training Program