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Contact Information

LISA M GRAY, MD
611 W PARK ST
URBANA, IL61801-2529
 Phone: 217-383-4930
 Fax: 217-383-4014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LISA M GRAY · (Female)

NPI Number 1851563571
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2008
Last updated 06/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036154514
  • NY License # 263724
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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