NATHANIEL L RAY

LIGHTHOUSE CLINIC LLC

Dr NATHANIEL L RAY is a male medical professional, specializing in Psychiatry. He graduated in 2009 from University Of Oklahoma College Of Medicine.

Contact

LIGHTHOUSE CLINIC LLC

2524 E WEBSTER PLACE
SUITE 203
MILWAUKEE
WI
532114257

Tel: 4149649200

NATHANIEL L RAY Information

Npi 1275776270
Pac Id 6608018213
Professional Enrollment Id I20130812000319
Last Name RAY
First Name NATHANIEL
Middle Name L
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 2009
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIGHTHOUSE CLINIC LLC
Group Practice Pac Id 4385826502
Number Of Group Practice Members 10
Line 1 Street Address 2524 E WEBSTER PLACE
Line 2 Street Address SUITE 203
Marker Of Address Line 2 Suppression
City MILWAUKEE
State WI
Zip Code 532114257
Phone Number 4149649200
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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