Provider Demographics
NPI:1972306090
Name:WRAY, ERIN M (CLC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:WRAY
Suffix:
Gender:
Credentials:CLC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CLC
Mailing Address - Street 1:7104 WRENWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-7246
Mailing Address - Country:US
Mailing Address - Phone:518-937-1144
Mailing Address - Fax:
Practice Address - Street 1:333 W MAIN ST
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-3451
Practice Address - Country:US
Practice Address - Phone:518-937-1444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN