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NPI Code Detail

MEDICARE: LAUREN MICHELLE GRAY NP

MEDICARE: LAUREN MICHELLE GRAY NP
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0026756OH

General Provider Information

NPI Number : 1982227633
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MICHELLE GRAY NP
Provider Business Mailing Address
First Line : 4020 MORSE XING
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6037
Country : US
Telephone Number : 614-472-8491
Fax Number : 614-472-8496
Provider Business Practice Location Address
First Line : 4020 MORSE XING
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6037
Country : US
Telephone Number : 614-472-8491
Fax Number : 144-728-4966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2020
Last Update Date : 06/29/2021

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