Provider Demographics
NPI:1891936571
Name:MURRAY, LISA MICHELLE (MED)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MICHELLE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3907 WINDING OAKS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-1599
Mailing Address - Country:US
Mailing Address - Phone:035-817-7317
Mailing Address - Fax:
Practice Address - Street 1:4200 WISCONSIN AVE NW # 106-212
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2143
Practice Address - Country:US
Practice Address - Phone:703-564-1648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst