Individual
DR. DOUGLAS B LURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 666-1631
Mailing address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 666-1631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G65033
CA
2086S0129X
Vascular Surgery Physician
G65033
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G65033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G650330
BLUE SHIELD
CA
05
—
00G650330
—
CA
01
—
020030749
RR MEDICARE
CA
Enumeration date
07/20/2006
Last updated
03/03/2011
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