Individual
DR. LISA MARIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7061
(719) 526-7132
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7061
(719) 526-7132
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
268905
NC
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0000410-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326440439
—
NC
Enumeration date
09/19/2014
Last updated
09/15/2016
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