Provider Demographics
NPI:1497632459
Name:LURIE, LILA MEGAN
Entity type:Individual
Prefix:
First Name:LILA
Middle Name:MEGAN
Last Name:LURIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 CANOE BROOK PKWY
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-1434
Mailing Address - Country:US
Mailing Address - Phone:856-889-5875
Mailing Address - Fax:
Practice Address - Street 1:97 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2421
Practice Address - Country:US
Practice Address - Phone:973-782-1275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional