Leah Gravesen

NPI #1477191336 in Streator, Illinois

Provider Information

NPI Number
1477191336
Entity Type
Individual
Name
Leah Gravesen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 11, 2019
Last Updated
Jan 24, 2022

Practice Location

Address
311 S OTTER CREEK RD
ZIP Code
61364-3117
Phone
(815) 257-5324

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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