Provider Demographics
NPI:1508959818
Name:LURIA, ALAN S (MD)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:S
Last Name:LURIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 BECKER DR.
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870
Mailing Address - Country:US
Mailing Address - Phone:252-537-8193
Mailing Address - Fax:252-537-0589
Practice Address - Street 1:204 BECKER DR.
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870
Practice Address - Country:US
Practice Address - Phone:252-537-8193
Practice Address - Fax:252-537-0589
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24859207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
53264OtherBCBS
NC8953264Medicaid
NC8953264Medicaid
53264OtherBCBS