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LAUREN SAVANNAH GRAY NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1740798164

Individual Registrant:
 LAUREN SAVANNAH GRAY NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1221 N WASHINGTON ST  LIVINGSTON, AL 35470-5410 US
Tel: 205-652-9575  Fax: 205-652-7979

Contact information for business:
1221 N WASHINGTON ST  LIVINGSTON, AL 35470-5410 US
Tel: --  Fax: --

Registration Information:
NPI: 1740798164
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MS902470

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
02105835MS05
MEDICARE675747MS01




HEALTH CARE JOBS AL - Page 1



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