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NPI Code Detail

MEDICARE: ELLEN LURIA

MEDICARE:   ELLEN  LURIA
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
11041C0700XClinical Social Worker02783MD

General Provider Information

NPI Number : 1265512933
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN LURIA
Provider Business Mailing Address
First Line : 3292 ARCADIA PL NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20015-2330
Country : US
Telephone Number : 410-465-9366
Fax Number : 410-480-0110
Provider Business Practice Location Address
First Line : 3355 SAINT JOHNS LN
Second Line : SUITE F
City : ELLICOTT CITY
State : MD
Zip : 21042-2605
Country : US
Telephone Number : 410-465-9366
Fax Number : 410-480-0110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

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Directions to “ ELLEN LURIA ” Practice Location

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