Provider Demographics
NPI:1003382755
Name:DURHAM MURPHY, LISA S
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:S
Last Name:DURHAM MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5570 LIVINGSTON TER APT 201
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2446
Mailing Address - Country:US
Mailing Address - Phone:202-749-5308
Mailing Address - Fax:
Practice Address - Street 1:2800 SHIPLEY TER SE APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-1814
Practice Address - Country:US
Practice Address - Phone:202-422-8516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-21
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant