Provider Demographics
NPI:1770240061
Name:LURQUIN, JAMES CLIFFORD (NP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CLIFFORD
Last Name:LURQUIN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6149 E OVERLOOK LN
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-1184
Mailing Address - Country:US
Mailing Address - Phone:262-705-1953
Mailing Address - Fax:
Practice Address - Street 1:284 W 32ND ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8152
Practice Address - Country:US
Practice Address - Phone:928-341-4563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-21
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ266628363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily