Individual
LILLIAN KATHERINE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
245 RUTH ST N STE 105, SAINT PAUL, MN 55119-4409
(651) 447-2118
(651) 447-2120
Mailing address
245 RUTH ST N STE 105, SAINT PAUL, MN 55119-4409
(651) 447-2118
(651) 447-2120
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225400000X
—
NV
Enumeration date
07/13/2011
Last updated
06/18/2025
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