NPI 1093182339 LAURENCE BURTON GRAY MOORE OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Laurence Burton Gray - NPI: 1093182339

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: LAURENCE BURTON GRAY
NPI Number: 1093182339
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number:
Business Practice Address: 400 N Broadway St
Moore, OK - 731604812
Business Phone Number: 4057354650
Business Fax Number:
Mailing Address: 400 N Broadway St,
MOORE
State: OK
Postal Code: 731604812
Phone Number: 4057354650
Fax Number:
NPI Enumeration Date: 08/21/2015
NPI Last Update Date: 08/21/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YM0800X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Mental Health
Taxonomy Definition:


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