Individual
DR. JACK WALTER LURTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 W JORDAN ST, PENSACOLA, FL 32501-1736
(850) 436-4630
(850) 436-2095
Mailing address
14 W JORDAN ST, PENSACOLA, FL 32501-1736
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME11915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036679000
—
FL
Enumeration date
05/03/2006
Last updated
09/14/2015
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