Healthcare Provider Details

I. General information

NPI: 1740413954
Provider Name (Legal Business Name): CHRISTOPHER B LURING DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 11/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28455 HAGGERTY RD SUITE 200
NOVI MI
48377-2982
US

IV. Provider business mailing address

1 SEAGATE STE 800
TOLEDO OH
43604-1558
US

V. Phone/Fax

Practice location:
  • Phone: 248-893-3200
  • Fax: 248-893-2950
Mailing address:
  • Phone: 195-784-2774
  • Fax: 419-537-5630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number5101018438
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number34013670
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: