Provider Demographics
NPI:1538179593
Name:GRAPIN, FERN LORRAINE (MD)
Entity type:Individual
Prefix:DR
First Name:FERN
Middle Name:LORRAINE
Last Name:GRAPIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2871 DUKE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4512
Mailing Address - Country:US
Mailing Address - Phone:703-751-3031
Mailing Address - Fax:703-370-9016
Practice Address - Street 1:2871 DUKE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4512
Practice Address - Country:US
Practice Address - Phone:703-751-3031
Practice Address - Fax:703-370-9016
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2008-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101039094207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C62126Medicare UPIN