Provider Demographics
NPI:1851956445
Name:RAY, LAUREN SCOTT (WHNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:SCOTT
Last Name:RAY
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3563 CHARLESWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-4505
Mailing Address - Country:US
Mailing Address - Phone:901-921-5906
Mailing Address - Fax:
Practice Address - Street 1:2996 KATE BOND RD STE 413
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-4063
Practice Address - Country:US
Practice Address - Phone:901-937-0038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25431363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health