Lurie, Mark
Lurie, Mark is an individual health care provider with primary practice located at 20046 Lake Chabot Rd , Castro Valley CA 94546-5304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lurie, Mark can be contacted via phone (510) 881-8823.Contact Information
Primary practice address
20046 Lake Chabot Rd
Castro Valley CA 94546-5304
Phone: (510) 881-8823
Fax: (510) 881-2134
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 00G052104 | California |
Profile Details
NPI number | 1750315123 |
---|---|
LBN Legal business name | Lurie, Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | Apr 26th, 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 | 1750315123 | NPPES |
California | MEDICAID | GR0046700 |
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