Lurie, Keith G

Lurie, Keith G is an individual health care provider with primary practice located at 1200 Sixth Ave N Centracare Clinic, St Cloud MN 56303. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Lurie, Keith G can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 Sixth Ave N Centracare Clinic St Cloud MN 56303
Phone: (320) 252-5131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35059 Minnesota
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 35059 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35059 Minnesota

Profile Details

NPI number 1679575492
LBN Legal business name Lurie, Keith G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated May 21st, 2010 - about 15 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 1679575492 NPPES
Other 1009220 PREFERRED ONE
Other 768237 PREFERRED ONE
Other 179582100 PREFERRED ONE
Other HP22045 PREFERRED ONE
Other 77D97LU PREFERRED ONE
Other 100317 PREFERRED ONE
MEDICAID 179582100 PREFERRED ONE
Other 2500171 PREFERRED ONE

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