Healthcare Provider Details

I. General information

NPI: 1699638023
Provider Name (Legal Business Name): LURIE CHIROPRACTIC GARAGE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9640 W TROPICANA AVE STE 106
LAS VEGAS NV
89147-2604
US

IV. Provider business mailing address

PO BOX 370774
LAS VEGAS NV
89137-0774
US

V. Phone/Fax

Practice location:
  • Phone: 702-899-6363
  • Fax: 702-605-6363
Mailing address:
  • Phone: 702-899-6363
  • Fax: 702-605-6363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN SCOTT LURIE
Title or Position: OWNER
Credential: DC
Phone: 702-899-6363