Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 11755R | LA |
Y | 111NI0900X | Internist | 11755R | LA |
N | 207RA0401X | Internist - Addiction Medicine | 11755R | LA |
NPI | 1528039781 |
---|---|
Provider Name | Rachael M. Murphy |
First Address | Covington, LA 70433-7523 |
Second Address | Covington, LA 70433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 26/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G17773 | (02) | LA |