Most Relevant Information
Provider Data
| NPI Number: | 1003826553 |
| Provider Name: | LYMAN BOWEN GREAVES M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | G64421 |
Most Important Dates
| Enumeration Date: | 08/08/2006 |
| Last Updated: | 05/02/2011 |
Provider Practice Location
3569 ROUND BARN CIR
SANTA ROSA
CA
954031757
Practice Location Phone/Fax
| Phone: | 7073033600 |
| Fax: | 7073033611 |
Provider Mailing Location
3569 ROUND BARN CIR
SANTA ROSA
CA
954031757
Provider Mailing Phone/Fax
| Phone: | 7073033600 |
| Fax: | 7073033611 |
Suggested EMR
Family Practice EMR