Individual
LISA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 W FORREST AVE STE A, EUFAULA, OK 74432-3205
(918) 689-3333
(918) 967-4582
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-4582
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65261
OK
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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