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Individual

DR. LURLEY JOHN ARCHAMBEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6450 WEATHERFIELD CT, SUITE 1B, MAUMEE, OH 43537-9146
(419) 866-2830
(419) 866-2831
Mailing address
6450 WEATHERFIELD CT, SUITE 1B, MAUMEE, OH 43537-9146
(419) 866-2830
(419) 866-2831

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35999
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0275330
OH
Enumeration date
12/19/2005
Last updated
11/10/2010
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