Organization
LOUIS LURIE, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS LURIE MD (PRESIDENT)
(619) 426-3240
Entity
Organization
Contact information
Practice address
480 4TH AVE, SUITE 307, CHULA VISTA, CA 91910-4410
(619) 426-3240
(619) 426-5964
Mailing address
480 4TH AVE, SUITE 307, CHULA VISTA, CA 91910-4410
(619) 426-3240
(619) 426-5964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G13181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G131810
—
CA
01
—
G13181
MEDICAL LICENSE
CA
Enumeration date
12/20/2006
Last updated
08/22/2020
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