Individual
KATHERINE LURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-2806
Mailing address
PO BOX 9369, MOBILE, AL 36691-0369
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27126
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01875004
MEDICAID
MS
05
—
120186
—
AL
01
—
511-06933
BCBS
AL
01
—
P00848243
RAILROAD MEDICARE
AL
Enumeration date
05/14/2007
Last updated
10/20/2010
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