Lisa B Murphy, MBA FMT
Individual provider Active NPI Specialist · Reddick, FL
NPI 1073079802 · NPPES record last updated Feb 18, 2019
Key facts
- NPI
- 1073079802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 9301 W Highway 316
Reddick, FL 32686-3054 - Phone
- (352) 949-4012
- NPI assigned
- Feb 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Business Administration
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist |
225800000X | |||
| Other Specialist/Technologist | 246Z00000X | |||
| Athletic Trainer |
2255A2300X | |||
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
9301 W Highway 316
Reddick, FL 32686-3054
Mailing address
9301 W Highway 316
Reddick, FL 32686-3054
Phone (352) 949-4012
Other names
- Lisa B Chomko
Other providers in Reddick, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.