Basic Information
Provider Information
NPI: 1750470118
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRAEFF-ARMAS
FirstName: LAURA
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 988102 NEBRASKA MEDICAL CTR
Address2:  
City: OMAHA
State: NE
PostalCode: 681988102
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: EMILE @ 42ND ST
Address2:  
City: OMAHA
State: NE
PostalCode: 681983775
CountryCode: US
TelephoneNumber: 4025598700
FaxNumber: 4025595080
Other Information
ProviderEnumerationDate: 10/12/2006
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X22810NEN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RE0101X22810NEY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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