Individual
DR. LISA WYNETTE MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W COOLIDGE AVE, MODESTO, CA 95350-4447
(209) 577-5005
(209) 521-1533
Mailing address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7248
(209) 558-8723
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
50015
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
C148024
CA
207VG0400X
Gynecology Physician
4301056342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01338
AETNA
MI
01
—
0982797
HEALTHPLUS
MI
01
—
1602503852
BLUE CROSS BLUE SHIELD
MI
01
—
160D410050
BLUE CROSS BLUE SHIELD
MI
01
—
203333
HEALTH ADVANTAGE
MI
05
—
34649164
—
MI
05
—
4380839
—
MI
01
—
C5869
MCARE
MI
01
—
G93281
HEALTH NET FEDERAL SERVIC
MI
Enumeration date
11/22/2005
Last updated
02/20/2023
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