Provider Demographics
NPI:1891961447
Name:ERIC W LURIA AND CATHERINE C LURIA PTN
Entity Type:Organization
Organization Name:ERIC W LURIA AND CATHERINE C LURIA PTN
Other - Org Name:HARBOR FAMILY HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:W
Authorized Official - Last Name:LURIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-851-6181
Mailing Address - Street 1:4402 HUNT ST NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7313
Mailing Address - Country:US
Mailing Address - Phone:253-851-6181
Mailing Address - Fax:253-851-6191
Practice Address - Street 1:4402 HUNT ST NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7313
Practice Address - Country:US
Practice Address - Phone:253-851-6181
Practice Address - Fax:253-851-6191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00015424207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8856550Medicare PIN