Provider Demographics
NPI:1073662656
Name:ASLANIAN, LURLINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LURLINE
Middle Name:
Last Name:ASLANIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LURLINE
Other - Middle Name:
Other - Last Name:PURVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 18554
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34276-1554
Mailing Address - Country:US
Mailing Address - Phone:941-366-0223
Mailing Address - Fax:
Practice Address - Street 1:1530 CROSS ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7015
Practice Address - Country:US
Practice Address - Phone:941-366-0223
Practice Address - Fax:941-366-0223
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW14181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ1238Medicare ID - Type Unspecified