Provider Demographics
NPI:1235686767
Name:GRAHAM, DAWN Z (BS, IBCLC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:Z
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:BS, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12021 COLDSTREAM DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3620
Mailing Address - Country:US
Mailing Address - Phone:301-299-6992
Mailing Address - Fax:
Practice Address - Street 1:12021 COLDSTREAM DR
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3620
Practice Address - Country:US
Practice Address - Phone:301-299-6992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN