Individual
JACOB MICHAEL LURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1018593
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
1018593
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
80666
CT
208VP0014X
Interventional Pain Medicine Physician
80666
CT
Other
Enumeration date
04/12/2020
Last updated
01/15/2026
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