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Individual
RICARDO LUGO
Active
Individual
RICARDO LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
63027
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S-991
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
311638
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A158305
CA
Other
Enumeration date
06/19/2014
Last updated
09/04/2026
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