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NPI Code Detail

MEDICARE: DR. BENJAMIN SCOTT LURIE D.C., C.C.S.T.

MEDICARE: DR. BENJAMIN SCOTT LURIE D.C., C.C.S.T.
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
1111N00000XChiropractorB904NV

General Provider Information

NPI Number : 1912070178
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN SCOTT LURIE D.C., C.C.S.T.
Provider Business Mailing Address
First Line : PO BOX 370774
Second Line :
City : LAS VEGAS
State : NV
Zip : 89137-0774
Country : US
Telephone Number : 702-547-5400
Fax Number : 702-515-0803
Provider Business Practice Location Address
First Line : 3430 N BUFFALO DR
Second Line : SUITE 110
City : LAS VEGAS
State : NV
Zip : 89129-7424
Country : US
Telephone Number : 702-547-5400
Fax Number : 702-515-0803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 02/07/2014

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