Provider Demographics
NPI:1063551380
Name:MURRAY, LAUREN A (PT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:A
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2408 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3209
Mailing Address - Country:US
Mailing Address - Phone:203-626-0160
Mailing Address - Fax:203-294-6734
Practice Address - Street 1:9 WASHINGTON AVE FL 1-A
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3267
Practice Address - Country:US
Practice Address - Phone:203-789-8873
Practice Address - Fax:203-466-8527
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2022-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT3956225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400154785Medicare PIN