MEDICARE: DR. EDWARD LUREY PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	0482	NC

General Provider Information

NPI Number	:	1265538391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD LUREY PHD

Provider Business Mailing Address
First Line	:	902 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1513
Country	:	US
Telephone Number	:	336-373-8947
Fax Number	:	336-373-8948

Provider Business Practice Location Address
First Line	:	902 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1513
Country	:	US
Telephone Number	:	336-373-8947
Fax Number	:	336-373-8948

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. EDWARD LUREY PHD” Practice Location

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