Individual
LORENE ANN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNP
Contact information
Practice address
6465 W SHADOW LAKE DR, LINO LAKES, MN 55014-1982
(651) 492-3387
Mailing address
6465 W SHADOW LAKE DR, LINO LAKES, MN 55014-1982
(651) 492-3387
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3634
MN
Other
Enumeration date
09/02/2010
Last updated
05/23/2019
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