LAKOU TYRA TRAY RN NPI 1912865064

NPI Information

  • NPI: 1912865064
  • Provider Name: LAKOU TYRA TRAY, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 3570 LEXINGTON AVE N STE 204
    SHOREVIEW, MN
    ZIP 55126
  • Phone: (612) 886-6701

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NPI Details

Lakou Tyra Tray, RN is a home health registered nurse in Shoreview, MN. Lakou Tyra Tray, RN NPI is 1912865064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3570 LEXINGTON AVE N STE 204
SHOREVIEW, MN
ZIP 55126-049
Phone: (612) 886-6701
Fax: (612) 439-5374

The enumeration date for this NPI number is 1/15/2026 and was last updated on 1/15/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome Health2504716MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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