Most Relevant Information
Provider Data
| NPI Number: | 1003458449 |
| Provider Name: | LAUREN GRAVES |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2019 |
| Last Updated: | 10/16/2019 |
Provider Practice Location
3285 E SPARROW AVE
FLAGSTAFF
AZ
860047794
Practice Location Phone/Fax
| Phone: | 9285276163 |
| Fax: |
Provider Mailing Location
609 W DALE AVE
FLAGSTAFF
AZ
860011549
Provider Mailing Phone/Fax
| Phone: | 9494662399 |
| Fax: |