Individual
DR. LANCE LURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3265 S NATIONAL AVE, SUITE 200, SPRINGFIELD, MO 65807-7304
(417) 820-6452
(417) 820-8713
Mailing address
3265 S NATIONAL AVE, SUITE 200, SPRINGFIELD, MO 65807-7304
(417) 820-6452
(417) 820-8713
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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