LAKETTA GRAHAM
NPI 1821482092
Licensed Practical Nurse in Detroit, MI

Active since March 25, 2015
2294 CHICAGO BLVD, DETROIT, MI 48206(313) 974-8462 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laketta Graham NPPES

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

LAKETTA GRAHAM (NPI 1821482092) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703114735) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1821482092
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLAKETTA GRAHAM
Location Address2294 CHICAGO BLVDDetroit, MI 48206-1739
Mailing Address2294 Chicago BlvdDetroit, MI 48206-1739 · (313) 974-8462
Sole ProprietorYes
Enumeration DateMarch 25, 2015
NPI 1821482092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MI · 4703114735
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2294 CHICAGO BLVD, Detroit, MI 48206

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 Laketta Graham's NPI number?

The NPI number for Laketta Graham is 1821482092. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Laketta Graham located?

Laketta Graham practices at 2294 Chicago Blvd, Detroit, MI 48206. The listed phone number is (313) 974-8462.

What is Laketta Graham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Laketta Graham was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.