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NPI Code Detail

MEDICARE: LISA J MURRAY DMD

MEDICARE: LISA J MURRAY DMD
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
11223G0001XGeneral Practice Dentistry19188MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1X11330OTHERMABCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1689670499
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA J MURRAY DMD
Provider Business Mailing Address
First Line : 34 RAILROAD AVE
Second Line :
City : SOUTH HAMILTON
State : MA
Zip : 01982-2219
Country : US
Telephone Number : 978-468-4494
Fax Number : 978-468-9741
Provider Business Practice Location Address
First Line : 34 RAILROAD AVE
Second Line :
City : SOUTH HAMILTON
State : MA
Zip : 01982-2219
Country : US
Telephone Number : 978-468-4494
Fax Number : 978-468-9741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 07/08/2007

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Directions to “ LISA J MURRAY DMD” Practice Location

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