Individual
DR. LARA ROYSTER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
857 S BECKFORD DR, SUITE H, HENDERSON, NC 27536-3486
(252) 430-7744
(252) 430-0917
Mailing address
857 S BECKFORD DR, SUITE H, HENDERSON, NC 27536-3486
(252) 430-7744
(252) 430-0917
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
4578
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11852
BCBS OF NC
NC
05
—
3404255
—
NC
01
—
56-2260112
MARIA PARHAM HOSPITAL
NC
01
—
56-2260112A
CIGNA HEALTHSOURCE
NC
01
—
640004163
RAILROAD MEDICARE
NC
05
—
7001565
—
NC
05
—
7211020
—
NC
05
—
7400006
—
NC
05
—
7411476
—
NC
01
—
85707
MECOST
NC
Enumeration date
08/17/2006
Last updated
07/16/2013
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