Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavern Graham, STUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104287499

Lavern Graham, STUDENT is a Student in an Organized Health Care Education/Training Program in Gordonville, Texas. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

43 Plum Ln
Gordonville, TX 76245-2342
Phone: (903) 651-1803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104287499
Entity typeIndividual (Type 1)
GenderFemale
Credentials STUDENT
Sole proprietorYes
NPI enumeratedMarch 14, 2016
Last updated in NPPESMarch 14, 2016