Basic Information
Provider Information
NPI: 1689938284
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: LAUREN
MiddleName: L.
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2925 CHICAGO AVE
Address2:  
City: MINNEAPOLIS
State: MN
PostalCode: 554071321
CountryCode: US
TelephoneNumber: 6122625000
FaxNumber:  
Practice Location
Address1: 1217 8TH ST N
Address2:  
City: NEW ULM
State: MN
PostalCode: 560731552
CountryCode: US
TelephoneNumber: 5072175000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/28/2012
LastUpdateDate: 06/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X56652MNN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0804X56652MNY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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