Individual
MRS. MACKENZIE R LURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001
(928) 226-6400
(928) 226-6410
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1058116
AZ
Other
Enumeration date
05/09/2006
Last updated
05/18/2020
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