Provider Demographics
NPI:1730133984
Name:LOURDES MURRA MD
Entity Type:Organization
Organization Name:LOURDES MURRA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-888-1336
Mailing Address - Street 1:PO BOX 62600
Mailing Address - Street 2:DEPT 1252
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70162-2600
Mailing Address - Country:US
Mailing Address - Phone:504-888-1336
Mailing Address - Fax:
Practice Address - Street 1:708 W ESPLANADE AVE
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2736
Practice Address - Country:US
Practice Address - Phone:504-465-0185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CG86Medicare ID - Type Unspecified