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
Fax: (510) 881-2134
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750315123 NPPES
California MEDICAID GR0046700

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