Provider Demographics
NPI:1366656779
Name:LISA J. MURRAY, DMD,P.C.
Entity Type:Organization
Organization Name:LISA J. MURRAY, DMD,P.C.
Other - Org Name:SAME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-468-4494
Mailing Address - Street 1:34 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2219
Mailing Address - Country:US
Mailing Address - Phone:978-468-4494
Mailing Address - Fax:978-468-9741
Practice Address - Street 1:34 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2219
Practice Address - Country:US
Practice Address - Phone:978-468-4494
Practice Address - Fax:978-468-9741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA191881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty