Luria, Lance
Luria, Lance is an individual health care provider with primary practice located at 3265 S National Ave Suite 200, Springfield MO 65807-7304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Luria, Lance can be contacted via phone (417) 820-6452.Contact Information
Primary practice address
3265 S National Ave Suite 200
Springfield MO 65807-7304
Phone: (417) 820-6452
Fax: (417) 820-8713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 108312 | Missouri |
Profile Details
| NPI number | 1285777698 |
|---|---|
| LBN Legal business name | Luria, Lance |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Sep 30th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285777698 | NPPES |
| Missouri | Other | 160553 | MO BLUE SHIELD |
| Missouri | MEDICAID | 208926915 | MO BLUE SHIELD |
| Missouri | Other | 98574 | MO BLUE SHIELD |
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