Individual
LAWRENCE KEITH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 MERIT DRIVE, RICHMOND HTS, OH 44143
(216) 261-1500
(216) 261-8970
Mailing address
1460 BURLINGTON RD, CLEVELAND HTS, OH 44118-1261
(216) 261-1500
(216) 261-8970
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35048187G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277964
BCBS
—
05
—
0697321
—
OH
Enumeration date
11/16/2006
Last updated
07/23/2008
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