Individual
MARK LURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20046 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5304
(510) 881-8823
(510) 881-2134
Mailing address
20046 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5304
(510) 881-8823
(510) 881-2134
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00G052104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0046700
—
CA
Enumeration date
07/10/2006
Last updated
04/26/2010
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