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LAUREN SAVANNAH GRAY NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1740798164
Individual Registrant: LAUREN SAVANNAH GRAY NP
Gender: F
Not Sole Proprietor
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
Tel: 205-652-9575 Fax: 205-652-7979
Contact information for business:
1221 N WASHINGTON ST LIVINGSTON, AL 35470-5410 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1740798164
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | MS | 902470 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 02105835 | MS | 05 | |
| MEDICARE | 675747 | MS | 01 |
