Individual
DR. LOREN MARIE MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2118 25TH ST STE E, COLUMBUS, IN 47201-3240
(812) 373-2700
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01067918A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000724790
ANTHEM
IN
01
—
000000984085
ANTHEM PIN
IN
01
—
01067918A
INDIANA LICENSE
IN
05
—
201029100
—
IN
01
—
M400051986
MEDICARE- OTHER
IN
Enumeration date
06/20/2008
Last updated
09/06/2024
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