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NPI Code Detail

MEDICARE: LAUREN RAY

MEDICARE:   LAUREN  RAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer2526TN

General Provider Information

NPI Number : 1033682307
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN RAY
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-5424
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4626 HIGHWAY 58
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37416-3013
Country : US
Telephone Number : 423-553-7972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2019
Last Update Date : 07/03/2019

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Directions to “ LAUREN RAY ” Practice Location

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