Provider Demographics
NPI:1437228178
Name:LURAKIS, MICHAEL FRANK (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRANK
Last Name:LURAKIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 ROUTE 50
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2158
Mailing Address - Country:US
Mailing Address - Phone:609-625-7116
Mailing Address - Fax:609-625-3275
Practice Address - Street 1:1161 ROUTE 50
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-2158
Practice Address - Country:US
Practice Address - Phone:609-625-7116
Practice Address - Fax:609-625-3275
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB03920300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ173930UHRMedicare ID - Type Unspecified
NJE06166Medicare UPIN