| Doctor Name: | LAVERNE GRAVES |
| NPI Number: | 1174833495 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 26NO11508100 |
| Business Practice Address: | 127 Brighton Ave Pleasantville, NJ - 082321503 |
| Business Phone Number: | 6098132396 |
| Business Fax Number: | |
| Mailing Address: | 127 Brighton Ave, PLEASANTVILLE |
| State: | NJ |
| Postal Code: | 082321503 |
| Phone Number: | 6098132396 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2010 |
| NPI Last Update Date: | 10/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | 26NO11508100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |