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NPI Code Detail

MEDICARE: MS. LISA M MURRAY PA-C

MEDICARE: MS. LISA M MURRAY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant330MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821084369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA M MURRAY PA-C
Provider Business Mailing Address
First Line : 6607 COVE CREEK DR
Second Line :
City : BILLINGS
State : MT
Zip : 59106-2210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1233 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0127
Country : US
Telephone Number : 406-247-3350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 06/09/2011

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