Individual
LAUREN STARK GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-4176
(727) 767-4379
Mailing address
4319 29TH AVE N, ST PETERSBURG, FL 33713-2101
(813) 244-9045
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11006234
FL
Other
Enumeration date
03/03/2020
Last updated
03/11/2020
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