Dr. Samuel Lyle Graham III
Internist Pulmonary Disease
1900 Lonlipman Ct
Louisville
, Kentucky 40207-1732
Dr. Samuel Lyle Graham III
Internist Pulmonary Disease
1900 Lonlipman Ct
Louisville
, Kentucky 40207-1732
(502) 897-6039
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About
Features
Specialties
- Internist
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Samuel Lyle Graham III
- 1900 Lonlipman Ct
- Louisville, KY
- Zip : 40207-1732
- Phone : (502) 897-6039
Second Address
- Dr. Samuel Lyle Graham III
- 1900 Lonlipman Ct
- Louisville, KY
- Zip : 40207-1732
- Phone : (502) 897-6039
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Is Dr. Samuel Lyle Graham III a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 18158 | KY |
| Y | 111NI0900X | Internist | 18158 | KY |
| N | 207RP1001X | Pulmonary Disease | 18158 | KY |
National Provider Identifier
| NPI | 1043376148 |
|---|---|
| Provider Name | Dr. Samuel Lyle Graham III |
| First Address | Louisville, KY 40207-1732 |
| Second Address | Louisville, KY 40207-1732 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2006 |
| Last Update Date | 20/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1061538 | PASSPORT (01) | KY |
| 538148 | BCBS (01) | KY |
| 64181589 | (05) | KY |
| C64455 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.