Individual provider · Type 1 NPI
Lakou Tyra Tray, RN
Home Health Registered Nurse · Rogers, MN
NPI number
1912865064
Active
Practice location
22020 Brenly Way
Rogers, MN 55374-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 2504716 (MN) |
Home Health Registered Nurse: Definition to come...
Other home health registered nurse providers in Rogers
About NPI 1912865064
Lakou Tyra Tray, RN's National Provider Identifier is 1912865064, issued on Jan 15, 2026. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Rogers, MN. The record was last updated on Oct 15, 2026.