MRS. LISA ROCHELLE GRAHAM


Address: 279 W Crogan St, Lawrenceville, GA 30046-6914
Phone: 4043964417

MRS. LISA ROCHELLE GRAHAM (NPI# 1699790253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699790253
Entity Type Individual
Full Name MRS. LISA ROCHELLE GRAHAM
Credential RN, BSN, CDE
Practice Address 279 W Crogan St
Lawrenceville
GA 30046-6914
Mailing Address 2250 Oak Rd Unit 1541
Snellville
GA 30078-1914
Practice Telephone 4043964417
Mailing Telephone 4043964417
Enumeration Date 2006-07-13
Last Update Date 2020-01-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
RN135816 GA Dietary & Nutritional Service Providers

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1720059603 Lisa S Graham Ophthalmology 5007 Matterhorn Drive, Duluth, MN 55811-3812 2006-01-30
1659896041 Lisa Marie Graham Nurse Practitioner 700 Childrens Dr, Columbus, OH 43205-2664 2017-08-07
1639531049 Lisa Graham Licensed Practical Nurse 725 E Market St, Akron, OH 44305-2421 2016-03-24
1528454857 Lisa Graham Counselor 380 N. Reservation Rd, Porterville, CA 93257 2015-04-14
1841589942 Lisa Faye Graham Pharmacist 3026 E 4th St, Owensboro, KY 42303-0243 2011-03-30
1467757732 Lisa Marie Graham Specialist 325 E George Hopper Rd, #106, Burlington, WA 98233-3154 2011-01-18

Office Location

Street Address 279 W CROGAN ST
City LAWRENCEVILLE
State GA
Zip Code 30046-6914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023659943 Healing Together Solutions, LLC Community/Behavioral Health 279 W Crogan St, Lawrenceville, GA 30046-6914 2019-10-02
1245663814 Keba Janine Richmond Green Counselor 279 W Crogan St, Lawrenceville, GA 30046-6914 2013-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194883157 Gale Cohen Nutritionist 31 Pin Oak Dr, Lawrenceville, NJ 08648-3133 2006-12-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417557638 Brenda L Nelson-porter Nutritionist 105 Wilson Cir, Newnan, GA 30263-5594 2020-10-27
1265047674 Tracey Lashae Copeland Nutritionist 139 Ralph Mcgill Blvd Ne # 5, Atlanta, GA 30308-3339 2020-09-11
1417570904 Asase Ye Duru Holistic,llc Nutritionist 1201 W Peachtree St Nw, Atlanta, GA 30309-3449 2020-05-19
1942839659 Taylor Renee Flewellen Nutritionist 8132 Autumn Forest Dr, Jonesboro, GA 30236-3971 2020-04-04
1548896731 Veronica Oriako Okwoche Nutritionist 11130 State Bridge Rd Ste E101, Johns Creek, GA 30022-2641 2020-03-19
1326511940 Olivia Haeberle Nutritionist 4113 Daniel Green Trl Se, Smyrna, GA 30080-6310 2019-01-07
1033622956 Dhw Enterprises Nutritionist 5300 Brickleberry Way Ste 104, Douglasville, GA 30134-4065 2017-11-14
1609312487 Alamo Health Group, LLC Nutritionist 4816 Ashford Ln, Atlanta, GA 30338-2650 2017-01-17
1093261034 Amy Lambert Nutritionist 1575 Mclendon Ave Ne, Atlanta, GA 30307-2167 2016-08-30
1114311990 Keena Stephens Nutritionist 211 Cove Pl, Atlanta, GA 30339-5207 2015-03-19
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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