Provider Demographics
NPI:1497087845
Name:MURR, LUCY (LMBT)
Entity Type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:
Last Name:MURR
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-2660
Mailing Address - Country:US
Mailing Address - Phone:864-557-1453
Mailing Address - Fax:
Practice Address - Street 1:605 N PINE ST
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-2660
Practice Address - Country:US
Practice Address - Phone:864-557-1453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4371172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker