Healthcare Provider Details

I. General information

NPI: 1124203708
Provider Name (Legal Business Name): JAMIE R LURIE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE ANNE RUBRIGHT M.D.

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 05/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 PRYTANIA ST SUITE 526
NEW ORLEANS LA
70115-3585
US

IV. Provider business mailing address

3525 PRYTANIA ST SUITE 526
NEW ORLEANS LA
70115-3585
US

V. Phone/Fax

Practice location:
  • Phone: 504-648-2510
  • Fax: 504-897-2064
Mailing address:
  • Phone: 504-648-2510
  • Fax: 504-897-2064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number026547
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number026547
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number026547
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: