Provider Demographics
NPI:1780620054
Name:MURRAY, LAURA W (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:W
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 ARROWHEAD BLVD
Mailing Address - Street 2:ARMC/MEBANE URGENT CARE
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27253
Mailing Address - Country:US
Mailing Address - Phone:919-568-7301
Mailing Address - Fax:919-568-7399
Practice Address - Street 1:3940 ARROWHEAD BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-7636
Practice Address - Country:US
Practice Address - Phone:919-568-7301
Practice Address - Fax:919-568-7399
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC 2008 01828207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
87726OtherUHC
341407259037OtherMEDICAL MUTUAL
7755544OtherAETNA
000000026809OtherANTHEM
MU7328841OtherTRICARE
341407259OtherNATIONWIDE
OH2020842Medicaid
341407259OtherCIGNA
MU7328841OtherTRICARE