Lurie, Alan G
Lurie, Alan G is an individual health care provider with primary practice located at 263 Farmington Ave Uconn Health Center Mc2110, Farmington CT 06030-0001. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Radiology, which is considered as his primary health care specialty. Lurie, Alan G can be contacted via phone (860) 679-2453.Contact Information
Primary practice address
263 Farmington Ave Uconn Health Center Mc2110
Farmington CT 06030-0001
Phone: (860) 679-2453
Fax: (860) 679-2756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 4751 | Connecticut |
Profile Details
| NPI number | 1003805516 |
|---|---|
| LBN Legal business name | Lurie, Alan G |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Sep 28th, 2022 - about 2 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 | 1003805516 | NPPES |
| Connecticut | MEDICAID | 004010807 |
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