Gray, Dona Leslie
Gray, Dona Leslie is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Gray, Dona Leslie can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
2600 Ferry St
Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 448-8858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 01058409A | Indiana |
Profile Details
| NPI number | 1538260740 |
|---|---|
| LBN Legal business name | Gray, Dona Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538260740 | NPPES |
| Indiana | MEDICAID | 200839690 | |
| Indiana | Other | 9452986 | |
| Indiana | Other | 000000507854 |
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