Lyndon M Graham, CRNA
Nurse Anesthetist, Certified Registered in Mount Clemens, MI. Individual provider (NPI-1).
NPI number1083661375
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1083661375
- Entity type
- Individual (NPI-1)
- Name
- Lyndon M Graham
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704084488 | MI | Yes |
Practice location
1000 Harrington StMount Clemens, MI 48043-2920
Phone 586-493-8747
Mailing address
1000 Harrington StMount Clemens, MI 48043-2920
Phone 586-493-8747
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Certified Registered Nurse Anesthetist providers in Mount Clemens · All 1,029 providers in Mount Clemens
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