Individual
FABIENNE LEE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HENRY CLAY AVE, OFFICE OF PEDIATRIC SURGERY, NEW ORLEANS, LA 70118
(504) 896-3997
Mailing address
1542 TULANE AVE RM 741, NEW ORLEANS, LA 70112-2865
(504) 568-4750
(504) 568-4730
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD.205721
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091588
—
LA
Enumeration date
06/09/2008
Last updated
07/21/2022
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