DR. LISA S GRAHAM (NPI# 1720059603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720059603 |
| Entity Type | Individual |
| Full Name | DR. LISA S GRAHAM |
| Other Name | LISA S. MACDONALD |
| Credential | M.D. |
| Practice Address |
5007 Matterhorn Drive Duluth MN 55811-3812 |
| Practice Telephone | 2187203553 |
| Practice Fax Number | 2187869375 |
| Mailing Telephone | 2187203553 |
| Mailing Fax Number | 2187869375 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2010-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 42312-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 42312 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 837658100 | 05 | |
| WI | 33333100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629583489 | Lisa Marie Graham | Acupuncturist | 1704 School Rd, Hatfield, PA 19440-1919 | 2017-12-02 |
| 1265842629 | Lisa Graham | Licensed Practical Nurse | 978 E 48th St, 1st Fl, Brooklyn, NY 11203-6604 | 2014-05-06 |
| 1447688395 | Lisa Graham | Counselor | 8745 Belter Dr, Orlando, FL 32817-1631 | 2013-10-30 |
| 1730487737 | Lisa Marie Graham | Occupational Therapist | 866 Maple Ridge Rd, Harrison, ME 04040-4005 | 2011-03-01 |
| 1699790253 | Lisa Rochelle Graham | Nutritionist | 279 W Crogan St, Lawrenceville, GA 30046-6914 | 2006-07-13 |
| 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 |
| Street Address |
5007 MATTERHORN DRIVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1275698516 | William A Segal | Ophthalmology | 3800 Pleasant Hill Rd, Suite 3, Duluth, GA 30096-1428 | 2006-12-27 |
| 1427015973 | Daniel Ludvic Maryland | Ophthalmology | 332 East Central Entrance, Duluth, MN 55811-5514 | 2006-04-27 |
| 1144296823 | Ann E Bidwell | Ophthalmology | 2070 Pleasant Hill Rd Ste 100, Duluth, GA 30096-4659 | 2006-02-23 |
| 1568709970 | St. Luke's Hospital of Duluth | Ophthalmology | 324 W Superior St Ste 220, Duluth, MN 55802-1707 | 2013-01-07 |
| 1609137363 | Grishma P Bharucha | Ophthalmology | 400 E 3rd St, Duluth, MN 55805-1951 | 2012-05-30 |
| 1831381243 | Ann O. Igbre | Ophthalmology | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2007-08-10 |
| 1356540827 | Charles Earl Ahrens | Ophthalmology | 4190 Loberg Ave, Duluth, MN 55811-2652 | 2007-07-16 |
| 1366580896 | Georgia Eye Physicians & Surgeons | Ophthalmology | 3855 Pleasant Hill Rd, Ste 170, Duluth, GA 30096 | 2007-02-05 |
| 1073603130 | Dennis P Breene | Ophthalmology | 2070 Pleasant Hill Rd Ste 100, Duluth, GA 30096-4659 | 2006-10-12 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on DR. LISA S GRAHAM.
| 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.