Provider Demographics
NPI:1346358348
Name:GREENE, GRAHAM FOLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:FOLEY
Last Name:GREENE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1324 LAKELAND HILLS BLVD
Mailing Address - Street 2:ATTN: MEDICAL STAFF OFFICE
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-4543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3525 LAKELAND HILLS BLVD
Practice Address - Street 2:LAKELAND REGIONAL CANCER CENTER
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-1965
Practice Address - Country:US
Practice Address - Phone:863-603-6565
Practice Address - Fax:863-904-1961
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2022-07-17
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Provider Licenses
StateLicense IDTaxonomies
FLME-104692208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology