Provider Demographics
NPI:1962681494
Name:MURRAY, LEA ANTOINETTE (MPH)
Entity Type:Individual
Prefix:MS
First Name:LEA
Middle Name:ANTOINETTE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5953 SW 112TH LN
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4595
Mailing Address - Country:US
Mailing Address - Phone:954-736-8343
Mailing Address - Fax:954-680-6833
Practice Address - Street 1:5953 SW 112TH LN
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330-4595
Practice Address - Country:US
Practice Address - Phone:954-736-8343
Practice Address - Fax:954-680-6833
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator