Provider Demographics
NPI:1992472567
Name:GRAY, LEXIE (NTP, CPT, CPPC)
Entity type:Individual
Prefix:
First Name:LEXIE
Middle Name:
Last Name:GRAY
Suffix:
Gender:F
Credentials:NTP, CPT, CPPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4328 S CARR CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1101
Mailing Address - Country:US
Mailing Address - Phone:561-314-5334
Mailing Address - Fax:
Practice Address - Street 1:4328 S CARR CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1101
Practice Address - Country:US
Practice Address - Phone:561-314-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist