Provider Demographics
NPI:1316762214
Name:GRAVES, LAUREN ALEXIS (CERTIFIED DOULA (CD))
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:ALEXIS
Last Name:GRAVES
Suffix:
Gender:F
Credentials:CERTIFIED DOULA (CD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6540 CREEK RUN DR
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-3865
Mailing Address - Country:US
Mailing Address - Phone:703-595-7588
Mailing Address - Fax:
Practice Address - Street 1:6540 CREEK RUN DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-3865
Practice Address - Country:US
Practice Address - Phone:703-595-7588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula