NPI 1003506379

Lavaughn Murray

Practitioner Driver Port Republic, MD

Practice location

Address: 1660 Grays Rd, Port Republic, MD 20676-2146
Phone: (301) 455-5054

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence M600488469244 (MD)

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Registry record

NPI: 1003506379
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2023
Record last updated: 10 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.