LAVERN GRAHAM STUDENT
NPI 1104287499
Student in an Organized Health Care Education/Training Program in Gordonville, TX

Q: What is Lavern Graham's NPI number?

The NPI number for Lavern Graham is 1104287499. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Q: What is Lavern Graham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lavern Graham was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 14, 2016

43 PLUM LN, GORDONVILLE, TX 76245(903) 651-1803 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lavern Graham Student NPPES

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

LAVERN GRAHAM STUDENT (NPI 1104287499) is an individual student in an organized health care education/training program in Gordonville, Texas and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1104287499

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLAVERN GRAHAMCredential: STUDENT

Location Address43 PLUM LNGordonville, TX 76245-2342

Mailing Address43 Plum LnGordonville, TX 76245-2342 · (903) 651-1803

Phone(903) 651-1803

Sole ProprietorYes

Enumeration DateMarch 14, 2016

✔ NPI 1104287499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

43 PLUM LN, Gordonville, TX 76245

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavern Graham's NPI number?

The NPI number for Lavern Graham is 1104287499. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Lavern Graham located?

Lavern Graham practices at 43 Plum Ln, Gordonville, TX 76245. The listed phone number is (903) 651-1803.

What is Lavern Graham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lavern Graham was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.