Provider Demographics
NPI:1275875312
Name:LURIE, LOUIS J (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:J
Last Name:LURIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5055 CALIFORNIA AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0712
Mailing Address - Country:US
Mailing Address - Phone:661-334-2009
Mailing Address - Fax:877-744-2842
Practice Address - Street 1:3700 MALL VIEW RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3050
Practice Address - Country:US
Practice Address - Phone:661-334-2995
Practice Address - Fax:661-334-2994
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2021-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA139869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB265153Medicare PIN