Individual
JOEL G LURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5504 DEMOCRACY DR STE 230, PLANO, TX 75024-3553
(469) 974-0565
Mailing address
5504 DEMOCRACY DR STE 230, PLANO, TX 75024-3553
(469) 974-0565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134950
TX
363LP2300X
Primary Care Nurse Practitioner
AP134950
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377455601
—
TX
Enumeration date
09/06/2017
Last updated
04/07/2022
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