Provider Demographics
NPI:1174828859
Name:MURPHY, LAURA L (LAC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7336 SANTA MONICA BLVD
Mailing Address - Street 2:#245
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6616
Mailing Address - Country:US
Mailing Address - Phone:213-399-7274
Mailing Address - Fax:
Practice Address - Street 1:7336 SANTA MONICA BLVD
Practice Address - Street 2:#245
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-6616
Practice Address - Country:US
Practice Address - Phone:213-399-7274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13855171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist