Individual
LAUREN SAVANNAH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24B CAMDEN BYP, CAMDEN, AL 36726-1770
(334) 882-1919
Mailing address
24B CAMDEN BYP, CAMDEN, AL 36726-1770
(334) 882-1919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902470
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02105835
—
MS
01
—
675747
MEDICARE
MS
Enumeration date
01/19/2018
Last updated
02/15/2023
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