| NPI | 1720210289 |
|---|---|
| Doing Business As | LANCE E. GRAVELY, M.D., INC. |
| Entity Type | Organization |
| Authorized Contact | LANCE EUGENE GRAVELY President/CEO 323-221-1302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A87871) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2011-03-09 |