Provider Demographics
NPI:1740365709
Name:GRAY, LORI TURNER JUSTICE (MD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:TURNER JUSTICE
Last Name:GRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:ELIZABETH
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 15010
Mailing Address - Street 2:CHILDREN'S ANESTHESIOLOGISTS, PC
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37901
Mailing Address - Country:US
Mailing Address - Phone:865-541-8485
Mailing Address - Fax:865-541-8727
Practice Address - Street 1:2018 CLINCH AVENUE
Practice Address - Street 2:EAST TENNESSEE CHILDREN'S HOSPITAL
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37901
Practice Address - Country:US
Practice Address - Phone:865-541-8485
Practice Address - Fax:865-541-8727
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN8303207L00000X
TN45206207LP3000X
NC2008-00942207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology