Mrs Laura Gray Conner, MS, RD, LDN is a
Dietitian, Registered based in Dyersburg, Tennessee. Mrs Laura Gray Conner is licensed to practice in Tennessee (license number LDN0000001955) and her current practice location is
400 E Tickle St, Dyersburg, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(731) 287-2469.
NPI number for Mrs Laura Gray Conner is 1699105262 and her current mailing address is 1207 Raspberry Rd, Troy, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699105262.
Healthcare Provider's Profile
Full Name | Mrs Laura Gray Conner |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 400 E Tickle St, Dyersburg, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699105262
- Provider Enumeration Date: 11/19/2013
- Last Update Date: 11/19/2013
Medical Identifiers
Medical identifiers for Mrs Laura Gray Conner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699105262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LDN0000001955 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Laura Gray Conner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Laura Gray Conner, MS, RD, LDN 1207 Raspberry Rd, Troy, TN 38260-5268 Ph: (731) 446-8828 | Mrs Laura Gray Conner, MS, RD, LDN 400 E Tickle St, Dyersburg, TN 38024-3120 Ph: (731) 287-2469 |
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