Gray, Lashonda

Gray, Lashonda is an individual health care provider with primary practice located at 611 W. Park St , Urbana IL 61801-2500. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Gray, Lashonda can be contacted via phone (217) 383-3303.

Contact Information

Primary practice address
611 W. Park St Urbana IL 61801-2500
Phone: (217) 383-3303
Fax: (217) 383-3265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN595726 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN595726 Pennsylvania

Profile Details

NPI number 1497044044
LBN Legal business name Gray, Lashonda
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated Mar 6th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497044044 NPPES
Pennsylvania Other 087244 CRNA CERTIFICATION
Pennsylvania Other RN595726 CRNA CERTIFICATION

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