Individual
DR. LANCE LURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
108312
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160553
MO BLUE SHIELD
MO
05
—
208926915
—
MO
01
—
98574
ARK BLUE SHIELD
AR
Enumeration date
02/15/2007
Last updated
09/30/2010
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