Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 026547 | LA |
N | 207R00000X | Internist | 026547 | LA |
N | 111NI0900X | Internist | 026547 | LA |
N | 207RA0201X | Internist - Allergy & Immunology | 026547 | LA |
NPI | 1124203708 |
---|---|
Provider Name | Dr. Jamie R Lurie |
First Address | New Orleans, LA 70115-3585 |
Second Address | New Orleans, LA 70115-3585 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2008 |
Last Update Date | 12/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
026547 | STATE LICENSE (01) | LA |
1061972 | (05) | LA |