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Individual
JUSTIN LUGAR
Active
Individual
JUSTIN LUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60450637
WA
207P00000X
Emergency Medicine Physician
MT19580
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053646885
—
WA
01
—
P01410231
RR MEDICARE CWH
WA
01
—
P01410365
RR MEDICARE WVH
WA
Enumeration date
10/13/2009
Last updated
07/21/2022
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