Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | C148024 | CA |
N | 207VG0400X | Gynecologist | 4301056342 | MI |
NPI | 1174506315 |
---|---|
Provider Name | Dr. Lisa Wynette Murphy |
First Address | Modesto, CA 95350-6131 |
Second Address | Modesto, CA 95350-4447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 17/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01338 | AETNA (01) | MI |
0982797 | HEALTHPLUS (01) | MI |
1602503852 | BLUE CROSS BLUE SHIELD (01) | MI |
160D410050 | BLUE CARE NETWORK (01) | MI |
160D410050 | BLUE CHOICE (01) | MI |
160D410050 | BLUE CROSS BLUE SHIELD (01) | MI |
160D410050 | COMMUNITY BLUE (01) | MI |
203333 | HEALTH ADVANTAGE (01) | MI |
203333 | MCLAREN HEALTH PLAN (01) | MI |
34649164 | (05) | MI |
4380839 | (05) | MI |
C5869 | MCARE (01) | MI |
G93281 | (02) | MI |
G93281 | HAP (01) | MI |
G93281 | HEALTH NET FEDERAL SERVIC (01) | MI |