Provider Demographics
NPI:1669566642
Name:MURPHY KNIGHT, LAURRIE ANN (MD)
Entity type:Individual
Prefix:MRS
First Name:LAURRIE
Middle Name:ANN
Last Name:MURPHY KNIGHT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:87 E CANFIELD ST
Mailing Address - Street 2:SUITE 5500
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-1881
Mailing Address - Country:US
Mailing Address - Phone:313-831-1955
Mailing Address - Fax:248-395-2241
Practice Address - Street 1:4160 JOHN R ST
Practice Address - Street 2:SUITE 729
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2020
Practice Address - Country:US
Practice Address - Phone:313-831-8303
Practice Address - Fax:313-831-8307
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2010-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301059737207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1108232841OtherBCBS
MI1046871145907OtherGREAT LAKES
MI383632527OtherPPOM
MA021260OtherDMC CARE
MI129128OtherCARE CHOICES
MI383632527OtherUNITED HEALTH CARE
MIG15912OtherHAP
MI4503142Medicaid
MI7762061OtherAETNA
MI383632527OtherUNITED HEALTH CARE
MI4503142Medicaid