Provider Demographics
NPI:1790725620
Name:MURAIKA, LISA ANN (DO)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:MURAIKA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 606
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-0606
Mailing Address - Country:US
Mailing Address - Phone:215-785-0145
Mailing Address - Fax:215-785-0161
Practice Address - Street 1:333 N OXFORD VALLEY RD
Practice Address - Street 2:SUITE 510
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2624
Practice Address - Country:US
Practice Address - Phone:215-785-0145
Practice Address - Fax:215-785-0161
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08081800207L00000X
PAOS009179L207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA22-1994560OtherUNITED HEALTHCARE/OXFORD
PA0803887000OtherAMERIHEALTH
PA22-1994560OtherHEALTH AMERICA/HEALTH ASS
PA22-1994560OtherGREAT WEST HEALTHCARE
PA1761273OtherAETNA
PA22-1994560OtherFIRST MCO
NJ22-1994560OtherUNITED HEALTHCARE/OXFORD
PA22-1994560OtherPROCURA MANAGEMENT
PA2412923OtherCIGNA
PA30035388OtherKEYSTONE MERCY
PA5658229OtherFIRST HEALTH NETWORK
NJ22-1994560OtherFIRST MCO
PA50059324OtherCAPITAL BLUE CROSS
PAP00097401OtherRAILROAD MEDICARE
PA001811030Medicaid
NJ1918508OtherAETNA-NJ
PA22-1994560OtherDEVON
PA892114OtherPA BLUE SHIELD
PA0803887000OtherKEYSTONE HEALTH PLAN EAST
PA0803887000OtherPERSONAL CHOICE
NJ113801RVBMedicare PIN
PA50059324OtherCAPITAL BLUE CROSS
PA2412923OtherCIGNA
PA0803887000OtherKEYSTONE HEALTH PLAN EAST
PA22-1994560OtherPROCURA MANAGEMENT
PA073311Q1RMedicare ID - Type UnspecifiedREADING