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Individual

DR. MARC A LURIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 NORTH WASHINGTON STREET, FALLS CHURCH, VA 22046-4518
(703) 237-4020
(703) 536-1395
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLEMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101035434
VA

Other

Enumeration date
12/02/2006
Last updated
11/10/2011
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