Healthcare Provider Details

I. General information

NPI: 1497125330
Provider Name (Legal Business Name): LAURA LYM-MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA LYM MD

II. Dates (important events)

Enumeration Date: 10/05/2015
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 DOCTORS CIR
WILMINGTON NC
28401-7405
US

IV. Provider business mailing address

1605 DOCTORS CIR
WILMINGTON NC
28401-7405
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-8736
  • Fax: 910-343-1293
Mailing address:
  • Phone: 910-343-8736
  • Fax: 910-343-1293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200100258
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number200100258
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: