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Contact Information

KEITH G LURIE, MD
1200 SIXTH AVE N
CENTRACARE CLINIC
SAINT CLOUD, MN56303
 Phone: 320-252-5131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEITH G LURIE · (Male)

NPI # 1679575492
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2005
Last updated 05/21/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 35059
  • MN Medicaid 179582100
  • Other 768237 ARAZ GROUP AMERICAS PPO
  • Other 77D97LU BLUE CROSS BLUE SHIELD
  • Other HP22045 HEALTH PARTNERS
  • Other 2500171 MEDICA HEALTH PLANS
  • Other 179582100 MEDICAL ASSISTANCE
  • Other 1009220 PREFERRED ONE
  • Other 100317 U CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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