Lourie, John Kenneth

Lourie, John Kenneth is an sole proprietor health care provider with primary practice located at 4900 Manatee Ave. W, Suite 201 , Bradenton FL 34209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Lourie, John Kenneth can be contacted via phone (941) 746-5200.

Contact Information

Primary practice address
4900 Manatee Ave. W, Suite 201 Bradenton FL 34209
Phone: (941) 746-5200
Fax: (941) 746-5266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME0068394 Florida

Profile Details

NPI number 1700878451
LBN Legal business name Lourie, John Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated May 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700878451 NPPES
Florida MEDICAID 378088100
Florida Other 205060385
Florida Other 27143

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