Provider Demographics
NPI:1568437085
Name:LAWRENCE MURPHY, LINDA (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:LAWRENCE MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:L
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5121 FLUSHING RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-2571
Mailing Address - Country:US
Mailing Address - Phone:810-733-6184
Mailing Address - Fax:810-733-7667
Practice Address - Street 1:501 S BALLENGER HWY STE B
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3606
Practice Address - Country:US
Practice Address - Phone:810-342-4819
Practice Address - Fax:810-733-7667
Is Sole Proprietor?:No
Enumeration Date:2006-02-19
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010424712085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI300B560780OtherBCBS OF MICHIGAN
MI4362170Medicaid
MI300F318310OtherBCBS OF MICHIGAN
MI300B563870OtherBCBS OF MICHIGAN
MI4345080Medicaid
MI3279927Medicaid
MI300089231OtherRAILROAD MEDICARE
MI3279918Medicaid
MI3279945Medicaid
MI4272680Medicaid
MI4280154Medicaid