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Individual

LISA M SPORS-MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
298 OSLOSKI RD, EUREKA, MT 59917-9058
(406) 297-3915
(406) 297-3364
Mailing address
PO BOX 1456, EUREKA, MT 59917-1456
(406) 297-3915
(406) 297-3364

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
844
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255388229
BCBS
MT
05
1255388229
MT
Enumeration date
05/27/2006
Last updated
11/27/2023
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