Individual provider · Type 1 NPI

Lauren Stark Gray, CPNP-PC

Pediatric Nurse Practitioner · St. Petersburg, FL

NPI number 1932733656 Active

Practice location

601 5th St S
St. Petersburg, FL 33701-4804

Fax (727) 767-4379

Mailing address

4319 29th Ave N
St. Petersburg, FL 33713-2101

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN11006234 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1932733656

Lauren Stark Gray, CPNP-PC's National Provider Identifier is 1932733656, issued on Mar 3, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 11, 2020.