Provider Demographics
NPI:1770544041
Name:LAHURD, NEIL JOSEPH JR (DO)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:JOSEPH
Last Name:LAHURD
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:243 AILSA DR
Mailing Address - Street 2:
Mailing Address - City:RISING SUN
Mailing Address - State:MD
Mailing Address - Zip Code:21911
Mailing Address - Country:US
Mailing Address - Phone:845-323-5905
Mailing Address - Fax:
Practice Address - Street 1:949 PINEY FOREST RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-1591
Practice Address - Country:US
Practice Address - Phone:434-835-4876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3942207P00000X
PAOS017957207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVV5621AMedicare PIN