Provider Demographics
NPI:1073299558
Name:MURPHY, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name: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 1:1885 ROUTE 57 STE 100
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-3477
Mailing Address - Country:US
Mailing Address - Phone:908-979-9840
Mailing Address - Fax:908-979-9847
Practice Address - Street 1:1885 ROUTE 57 STE 100
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3477
Practice Address - Country:US
Practice Address - Phone:908-979-9840
Practice Address - Fax:908-979-9847
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD3237156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician