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Contact Information

JON H GRAY, MD
1701 OAK PARK BLVD.
LAKE CHARLES, LA70601
 Phone: 337-494-3036
 Fax: 337-494-2181
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JON H GRAY · (Male)

NPI # 1356322077
Status Active
Credentials MD
Entity Individual
Enumeration date 11/09/2005
Last updated 04/21/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 022139
  • LA Medicaid 1668974
  • LA Medicaid 66897
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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