Provider Demographics
NPI:1184246498
Name:GRAHAM, LADONNA (NATUROPATHIC PRACTIT)
Entity type:Individual
Prefix:
First Name:LADONNA
Middle Name:
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:NATUROPATHIC PRACTIT
Other - Prefix:
Other - First Name:LADONNA
Other - Middle Name:
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1000 SMYRNA CLAYTON BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-2228
Mailing Address - Country:US
Mailing Address - Phone:302-508-5511
Mailing Address - Fax:
Practice Address - Street 1:1000 SMYRNA CLAYTON BLVD STE 3
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-2228
Practice Address - Country:US
Practice Address - Phone:302-508-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-08
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No172V00000XOther Service ProvidersCommunity Health Worker
No173C00000XOther Service ProvidersReflexologist
No174H00000XOther Service ProvidersHealth Educator
No175L00000XOther Service ProvidersHomeopath
No374J00000XNursing Service Related ProvidersDoula
No226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner