Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0420010127 | VT |
NPI | 1003857756 |
---|---|
Provider Name | Laura Murphy |
First Address | Ripton, VT 05766-0003 |
Second Address | Middlebury, VT 05753-4464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 15/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0VN2437 | (05) | VT |
30202003 | (05) | NH |
H26964 | (02) | VT |