MEDICARE: LURIE CHIROPRACTIC GARAGE, PLLC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1699638023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LURIE CHIROPRACTIC GARAGE, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 370774
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89137-0774
Country	:	US
Telephone Number	:	702-899-6363
Fax Number	:	702-605-6363

Provider Business Practice Location Address
First Line	:	9640 W TROPICANA AVE STE 106
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-2604
Country	:	US
Telephone Number	:	702-899-6363
Fax Number	:	702-605-6363

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BENJAMIN SCOTT LURIE
Credential	:	DC
Telephone Number	:	702-899-6363

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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