Individual
LAUREN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
223 S WALNUT AVE, AMES, IA 50010-6974
(515) 368-7504
Mailing address
223 S WALNUT AVE, AMES, IA 50010-6974
(515) 368-7504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1202571
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
121700
IA
Other
Enumeration date
03/22/2022
Last updated
09/12/2023
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