Murphy, Lisa Wynette
Murphy, Lisa Wynette is an sole proprietor health care provider with primary practice located at 200 W Coolidge Ave , Modesto CA 95350-4447. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Murphy, Lisa Wynette can be contacted via phone (209) 577-5005.Contact Information
Primary practice address
200 W Coolidge Ave
Modesto CA 95350-4447
Phone: (209) 577-5005
Fax: (209) 521-1533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 50015 | Arizona |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 4301056342 | Michigan |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | C148024 | California |
Profile Details
| NPI number | 1174506315 |
|---|---|
| LBN Legal business name | Murphy, Lisa Wynette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Feb 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174506315 | NPPES |
| Michigan | Other | 160D410050 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 160D410050 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 4380839 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | G93281 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 0982797 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 203333 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 34649164 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | C5869 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 01338 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 160D410050 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 203333 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 1602503852 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 160D410050 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | G93281 | BLUE CROSS BLUE SHIELD |
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